AZALEA CITY CHIROPRACTIC (NPI# 1649573130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649573130 |
| Entity Type | Organization |
| Organization Name | AZALEA CITY CHIROPRACTIC |
| Practice Address |
2231 Bemiss Rd Ste B Valdosta GA 31602-4812 |
| Practice Telephone | 2292419300 |
| Mailing Telephone | 2292419300 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | DR. MITCHELL SCOTT MINK (OWNER) |
| Authorized Official Telephone | 22924193000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008116 | GA | Chiropractic Providers |
| Street Address |
2231 BEMISS RD STE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1396357406 | S & K Onsite Chiropractic, LLC | Chiropractor | 1337 Baytree Rd Ste L, Valdosta, GA 31602-3898 | 2020-08-19 |
| 1336789262 | William Jake Croft | Chiropractor | 603 N Saint Augustine Rd Ste B, Valdosta, GA 31601-3809 | 2020-01-08 |
| 1265796551 | John Brian Hickox | Chiropractor | 2717 Windemere Drive Suite E, Valdosta, GA 31602-2017 | 2012-07-02 |
| 1730401902 | Jana Lacie Guy | Chiropractor | 701 Baytree Rd, Suite D, Valdosta, GA 31602-2880 | 2010-02-16 |
| 1194913723 | John W Steedley | Chiropractor | 915 E Park Ave, Valdosta, GA 31602-3126 | 2007-10-09 |
| 1679638761 | Dr. Daren W. Sanchez, Inc. | Chiropractor | 1212 Baytree Rd, Valdosta, GA 31602-2731 | 2006-12-27 |
| 1386703270 | Mitchell Scott Mink | Chiropractor | 409 Northside Dr, Valdosta, GA 31602-1801 | 2006-12-06 |
| 1033292529 | Travis Worthman | Chiropractor | 2418 Bemiss Road, Valdosta, GA 31602 | 2006-10-20 |
| 1366458440 | J. Ryan Moorman | Chiropractor | 2804c N Oak St, Valdosta, GA 31602-1716 | 2006-07-31 |
| 1245259951 | Andrea Lynne Lagnese | Chiropractor | 2031a Bemiss Rd, Valdosta, GA 31602-3030 | 2006-07-19 |
| Find all providers in VALDOSTA | ||||
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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.