DR. ERIC LEGAULT (NPI# 1023396561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023396561 |
Entity Type | Individual |
Full Name | DR. ERIC LEGAULT |
Credential | B.S., D.C, C.S.C.S |
Practice Address |
120 Werz Industrial Dr. Newnan GA 30263-5802 |
Mailing Address |
104 Windward Hls Mcdonough GA 30253-5991 |
Practice Telephone | 7709129797 |
Mailing Telephone | 7709129797 |
Enumeration Date | 2011-08-02 |
Last Update Date | 2012-04-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | CHIR007959 | GA | Chiropractic Providers |
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR007959 | GA | Chiropractic Providers |
N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
CHIR007959 | GA | Chiropractic Providers |
N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR007959 | GA | Chiropractic Providers |
Street Address |
120 WERZ INDUSTRIAL DR. |
City | NEWNAN |
State | GA |
Zip Code | 30263-5802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
Find all providers in zip 30263 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962669101 | Georgia Chiropractic Associates | Chiropractor | 1755 Highway 34 E, Suite 3300, Newnan, GA 30265-5631 | 2008-05-16 |
1831257146 | Craig Alan Steingraber | Chiropractor | 60 Oak Hill Blvd, Suite 202, Newnan, GA 30265-2314 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
1720424310 | Georgia Gwinnett Clinic | Chiropractor | 2856 Buford Highway, Suite 7, Duluth, GA 30096 | 2013-05-22 |
1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
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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.