Georgia Specific Clinic of Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008754 Issued in GA

Legal business name

GEORGIA SPECIFIC CLINIC OF CHIROPRACTIC, INC.

Practice address

49 Piedmont Dr
Suite 104
Winder, GA 30680-8118

Phone

(770) 896-0157

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By 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

William Edgardo Soriano, D.C.NPI 1356643183

Title

President

Phone

(770) 896-0157

Specialties & licenses 1

Addresses

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.

• William Edgardo Soriano, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1356643183
  NPD (past) Authorized official

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1891098158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306806665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PIEDMONT DR",
            "address_2": "SUITE 104",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808118",
            "telephone_number": "770-896-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPECIFIC CLINIC OF CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-896-0157",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doy O Gay, M.D.
• Alexis Gaylord, PHARMD
• Georgia CVS Pharmacy LLC (CVS Pharmacy 04389)
• Georgia Hma Physician Management, LLC
• Georgia Reconstructive Foot and Ankle Center LLC (Georgia Reconstructive Foot and Ankle)
• Gedion A Getachew, M.D.
• Pamela S Gewirtz, OD
• Taylor Burch Gibson
• Rachelle Lea Gilmore, FNP
• Kierra Glenn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.