SOUTHEAST CHIROPRACTIC CLINIC LLC (NPI# 1467796581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467796581 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST CHIROPRACTIC CLINIC LLC |
| Practice Address |
308 Jackson St Vidalia GA 30474-4708 |
| Mailing Address |
107 Reserve Cir Saint Marys GA 31558-4278 |
| Practice Telephone | 9125857124 |
| Mailing Telephone | 9125857124 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | HEIDI ZUBECK (MANAGER) |
| Authorized Official Telephone | 9125857124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008450 | GA | Chiropractic Providers |
| Street Address |
308 JACKSON ST |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| 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 |
|---|---|---|---|---|
| 1023341112 | Monty Roy Warshaw | Chiropractor | 1629 Carter St, Vidalia, LA 71373-3111 | 2009-09-08 |
| 1548382120 | John K Mckay Jr. | Chiropractor | 509 Jackson St, Vidalia, GA 30474-4720 | 2007-04-04 |
| 1578172227 | Heather Turner | Chiropractor | 511 Church St, Vidalia, GA 30474-4738 | 2020-07-29 |
| 1528424025 | Hannah Norton | Chiropractor | 511 Church St, Vidalia, GA 30474-4738 | 2016-01-13 |
| 1508114034 | Christopher Frederick Foster | Chiropractor | 511 Church St, Vidalia, GA 30474-4738 | 2012-08-15 |
| 1457646770 | Family Total Healthcare LLC | Chiropractor | 509 Jackson St, Vidalia, GA 30474-4720 | 2011-06-15 |
| 1992038095 | Warshaw Chiropractic Clinic LLC | Chiropractor | 1629 Carter St, Vidalia, LA 71373-3111 | 2009-09-08 |
| 1023259876 | Heidi Marie Reuschling | Chiropractor | 511 Church St, Vidalia, GA 30474-4738 | 2009-03-07 |
| 1669642203 | Back & Neck Pain Center PC | Chiropractor | 509 Jackson St, Vidalia, GA 30474-4720 | 2008-03-11 |
| 1447466776 | Vidalia Family Chiropractic, PC | Chiropractor | 305 E 3rd St, Vidalia, GA 30474-4604 | 2007-05-15 |
| Find all providers in VIDALIA | ||||
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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.