Ac Chiropractic Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR004740 Issued in GA

Legal business name

AC CHIROPRACTIC LIFE CENTER

Practice address

217 Scenic Hwy # 124
Lawrenceville, GA 30046-5621

Phone

(770) 513-8922

Fax

(770) 513-0547

NPI assigned

Nov 16, 2006

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanette Altieri, DC

Title

Providor Partner

Phone

(770) 513-8922

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Cavallo, D.C.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1417020710
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1831262914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "ALTIERI",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PROVIDOR PARTNER",
        "authorized_official_telephone_number": "770-513-8922",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004727",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abram Care LLC
• Petra S. Abram, FNP-C
• Lina Abu-Samrah Salaymeh
• Taibat Abudu
• Abundant Life Healthcare
• Ac Spine & Wellness Center Inc
• Ac Spine & Wellness Center LLC
• Accela RX
• Access Healthcare Providers LLC
• Access Wheelchair Repair, LLC

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.