Organization Name: | 100 PERCENT CHIROPRACTIC ATLANTA TWO LLC |
NPI Number: | 1700159191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE K NUTTY (DOCTOR/OWNER) |
Mailing Address: | 1600 Mall Of Georgia Blvd Ste 1110 Buford |
State: | GA US |
Postal Code: | 305198746 |
Phone Number: | 7706141009 |
Fax Number: | 7706141011 |
NPI Enumeration Date: | 02/15/2012 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR008877 |
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. |