Organization Active NPI

Fuller Life Solutions

  • Chiropractor
  • Manchester, GA
National Provider Identifier
1942586607
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FULLER LIFE SOLUTIONS
Practice address
23 E Main St
Manchester, GA 31816
Phone
(706) 846-4525
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Ronald FullerNPI 1477528925
Title
President
Phone
(706) 846-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

23 E Main St
Manchester, GA 31816

Mailing address

PO Box 719
Manchester, GA 31816
Phone (706) 846-4525

National Provider Directory

National Provider Directory

Locations

6298 Veterans Pkwy
Ste 10E
Columbus, GA 31909
Phone (706) 327-1600

40 Eastbrook Bnd
Ste C
Peachtree Cty, GA 30269
Phone (706) 646-4333

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1942586607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "31816",
            "telephone_number": "706-846-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "31816",
            "telephone_number": "706-846-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER LIFE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-846-4525",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.