PINE MOUNTAIN CHIROPRACTIC CENTER, LLC (NPI# 1023201217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023201217 |
| Entity Type | Organization |
| Organization Name | PINE MOUNTAIN CHIROPRACTIC CENTER, LLC |
| Practice Address |
624 N Main Ave Pine Mountain GA 31822-2403 |
| Mailing Address |
624 N Main Ave P.o. Box 1690 Pine Mountain GA 31822-2403 |
| Practice Telephone | 7066638801 |
| Mailing Telephone | 7066638801 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | KIM W. RUSSELL (OFFICE MANAGER) |
| Authorized Official Telephone | 7066638801 |
| Authorized Official Credential | MANAGING MEMBER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2301000RN | GA | Ambulatory Health Care Facilities |
| Street Address |
624 N MAIN AVE |
| City | PINE MOUNTAIN |
| State | GA |
| Zip Code | 31822-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427122951 | Jeffery A. Russell | Chiropractor | 624 N Main Ave, Pine Mountain, GA 31822-2403 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
| 1780915165 | Pine Mountain Family Dentistry, LLC | Dentist | 8944 Hamilton Road, Pine Mountain, GA 31822 | 2010-01-25 |
| 1194857813 | Timothy Turco | Psychologist | 107 Broad St., Pine Mountain, GA 31822 | 2007-03-09 |
| 1417944075 | Chattahoochee Valley Hospital Society | Home Health | Us Hwy 27 and 354, 5700 Chipley Village, Pine Mountain, GA 31822-0475 | 2005-09-29 |
| 1447280672 | Pine Mountain Pharmacy, Inc | Pharmacy | 145 N Main Ave, Pine Mountain, GA 31822-0500 | 2006-07-04 |
| 1255331351 | Mack H Clements | Family Medicine | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2005-07-29 |
| 1801083134 | Clements Professional Association Pine Mountain | General Practice | 211 East Broad St, Pine Mountain, GA 31822-0516 | 2007-10-01 |
| 1700859840 | Grady Glenn Barnwell Jr. | Obstetrics & Gynecology | 217 W Harris St, Pine Mountain, GA 31822-1149 | 2006-02-09 |
| 1538382171 | Pine Mountain Eye Care | Optometrist | 414 S Main Ave, Pine Mountain, GA 31822-2355 | 2007-04-11 |
| 1841541869 | Jdf Corporation | Durable Medical Equipment & Medical Supplies | 145 N Main Ave, Pine Mountain, GA 31822-2454 | 2012-10-01 |
| Find all providers in zip 31822 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | PINE MOUNTAIN |
| Zip Code | 31822 |
Please comment or provide details below to improve the information on PINE MOUNTAIN CHIROPRACTIC CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.