| Organization Name: | BACKCARE PLUS CHIROPRACTIC |
| NPI Number: | 1154336899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN EVERETT MULLINS (PRESIDENT) |
| Mailing Address: | 3973 Atlanta Hwy Ste. 400 Loganville |
| State: | GA US |
| Postal Code: | 300523752 |
| Phone Number: | 7704669990 |
| Fax Number: | 7704669391 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 2134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |