FULLER LIFE CHIROPRACTIC CENTER (NPI# 1558424093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558424093 |
| Entity Type | Organization |
| Organization Name | FULLER LIFE CHIROPRACTIC CENTER |
| Practice Address |
23 East Main Street Manchester GA 31816 |
| Mailing Address |
Po Box 307 Manchester GA 31816 |
| Practice Telephone | 6784324755 |
| Practice Fax Number | 6784324753 |
| Mailing Telephone | 6784324755 |
| Mailing Fax Number | 6784324753 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-01-13 |
| Authorized Official Name | MR. RONALD FULLER (PRESIDENT) |
| Authorized Official Telephone | 6784324755 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | FULLER LIFE CHROPRACTIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005224 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688071 | Fuller Life Chiropractic Center | Chiropractor | 6298 Veterans Parkway Ste 10e, Columbus, GA 31909 | 2013-01-15 |
| 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 |
| Street Address |
23 EAST MAIN STREET |
| City | MANCHESTER |
| State | GA |
| Zip Code | 31816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987935 | Clyde Copeland | Driver | 5465 Scenic Hts, Manchester, GA 31816 | 2012-06-18 |
| 1417129081 | Fuller Life Chiropractic Center PC | Chiropractor | 23 East Main St, Manchester, GA 31816 | 2008-03-24 |
| 1861694374 | Richard L Ousley Dds PC | Dentist | 404 West Perry Street, Manchester, GA 31816 | 2007-06-05 |
| 1174980262 | Mortar & Pestle, LLC | Pharmacy | 1194 Warm Springs Hwy, Manchester, GA 31816 | 2016-01-21 |
| 1942616008 | Candice Renee Gaultney | Massage Therapist | 102 W 2nd St, Manchester, GA 31816 | 2014-07-09 |
| 1942586607 | Fuller Life Solutions | Chiropractor | 23 E Main St, Manchester, GA 31816 | 2011-10-26 |
| 1750419446 | Beckhams Hhc Pharmacy Inc | Pharmacist | 1194 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-03-02 |
| 1326006222 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-05-02 |
| 1942296017 | Allan William Moore | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2005-09-23 |
| 1609196278 | Patricia Ann Tribble | Specialist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2010-06-07 |
| Find all providers in zip 31816 | ||||
| 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 |
|---|---|---|---|---|
| 1821651043 | Carlton Brandon Long | Chiropractor | 302 S Woodland St, Manchester, TN 37355-1761 | 2019-04-15 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1306332556 | Mitchell Aaron Crema | Chiropractor | 909 W Main St Ste 2, Manchester, IA 52057-1506 | 2018-07-10 |
| 1407340672 | Bazzani Chiropractic Manchester, LLC | Chiropractor | 1361 Elm St Ste 104, Manchester, NH 03101-1315 | 2018-06-20 |
| 1578062899 | Pride Health Corp | Chiropractor | 431 Lafayette Ctr, Manchester, MO 63011-3943 | 2018-02-02 |
| 1306394754 | Yojana Shahi | Chiropractor | 117 Tudor Ln Apt J, Manchester, CT 06042-8212 | 2016-09-14 |
| 1407304009 | Mary Macnicol | Chiropractor | 331 Harvard St, #2, Manchester, NH 03103-5528 | 2016-09-13 |
| 1528405198 | Manchester Spine Center, LLC | Chiropractor | 364 E Center St, Manchester, CT 06040-4440 | 2013-05-23 |
| 1639424716 | Ryan Frederick Theen | Chiropractor | 13861 Manchester Rd, Manchester, MO 63011-4503 | 2012-07-16 |
| 1376873133 | Kristen Mae Goldner | Chiropractor | 765 S Main St Ste 201, Manchester, NH 03102-5141 | 2009-12-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 31816 |
Please comment or provide details below to improve the information on FULLER LIFE CHIROPRACTIC CENTER.
| 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.