Organization Name: | BACKSMART HEALTH LLC - NORTH GA DIAGNOSTIC & REHAB |
NPI Number: | 1457678682 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY KING (PRESIDENT/CLINIC DIRECTOR) |
Mailing Address: | 5770 Bethelview Rd Suite 800d Cumming |
State: | GA US |
Postal Code: | 300400901 |
Phone Number: | 7708884288 |
Fax Number: | 6789473203 |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR005842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |