Organization Name: | SYNERGY MEDICAL CENTERS OF ROSWELL, LLC |
NPI Number: | 1215136890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE M FALLER (OFFICE MANAGER) |
Mailing Address: | 5499 Jonesboro Rd Suite 240 Lake City |
State: | GA US |
Postal Code: | 302603553 |
Phone Number: | 7708812191 |
Fax Number: | 7707041884 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR008003 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |