FULLER LIFE CHIROPRACTIC CENTER (NPI# 1356688071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356688071 |
| Entity Type | Organization |
| Organization Name | FULLER LIFE CHIROPRACTIC CENTER |
| Practice Address |
6298 Veterans Parkway Ste 10e Columbus GA 31909 |
| Mailing Address |
Po Box 307 Manchester GA 31816 |
| Practice Telephone | 6784324755 |
| Practice Fax Number | 6784324753 |
| Mailing Telephone | 6784324755 |
| Mailing Fax Number | 6784324753 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | RONALD D FULLER (PRESIDENT) |
| Authorized Official Telephone | 6784324755 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | FULLER LIFE CHIROPRACTIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005224 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1265578322 | Fuller Life Chiropractic Center | Chiropractor | 40 C Eastbrook Bend, Peachtree City, GA 30269 | 2007-01-29 |
| 1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
| Street Address |
6298 VETERANS PARKWAY STE 10E |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1417567900 | Bennett Holt | Chiropractor | 3215 22nd St Ste C, Columbus, NE 68601-3181 | 2020-08-09 |
| 1477163244 | Mitchell-lee Wade | Chiropractor | 7646 Schomburg Rd, Columbus, GA 31909-1816 | 2020-08-05 |
| 1174133219 | Britt Chiropractic, LLC | Chiropractor | 2325a Martin Luther King Jr Dr, Columbus, MS 39705-2640 | 2020-08-04 |
| 1417593021 | Cir I | Chiropractor | 3901 E Livingston Ave Ste 102, Columbus, OH 43227-2302 | 2019-11-19 |
| 1093351603 | Cir II | Chiropractor | 2021 E Dublin Granville Rd Ste 145, Columbus, OH 43229-3591 | 2019-11-19 |
| 1184268252 | Clear Chiropractic Columbus, LLC | Chiropractor | 3623 25th St, Columbus, IN 47203-3002 | 2019-11-01 |
| 1386291516 | Joshua Kraig Eversman | Chiropractor | 1550 Old Henderson Rd Ste 160, Columbus, OH 43220-3696 | 2019-08-22 |
| 1801443536 | Carly B Cangelosi | Chiropractor | 6298 Veterans Pkwy Ste 10e, Columbus, GA 31909-6253 | 2019-08-19 |
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| Find all providers in COLUMBUS | ||||
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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.