TRULIFE CHIROPRACTIC AND WELLNESS CENTER, LLC (NPI# 1699077701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699077701 |
Entity Type | Organization |
Organization Name | TRULIFE CHIROPRACTIC AND WELLNESS CENTER, LLC |
Practice Address |
126 N. Piedmont Ave Rockmart GA 30153 |
Practice Telephone | 6786854483 |
Practice Fax Number | 6786854487 |
Mailing Telephone | 6786854483 |
Mailing Fax Number | 6786854487 |
Enumeration Date | 2010-11-22 |
Last Update Date | 2010-11-22 |
Authorized Official Name | DR. AMANDA JEAN GILES (OWNER) |
Authorized Official Telephone | 6786854483 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CHIR008743 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PROVIDER NPI NUMBER | 1083915375 | 01 |
Street Address |
126 N. PIEDMONT AVE |
City | ROCKMART |
State | GA |
Zip Code | 30153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457829566 | Mandy Richardson | Speech-Language Pathologist | 140 Rhinehart Dr, Rockmart, GA 30153 | 2018-11-06 |
1225550619 | Lamaria Michelle Green | Case Manager/Care Coordinator | 52 Prometheous Way, Rockmart, GA 30153 | 2017-07-07 |
1508164070 | Julie Moss Carlton | Pharmacist | 802 Nathan Dean Bypass, Rockmart, GA 30153 | 2011-03-08 |
1437454667 | At Peace Hospice Care, LLC | Hospice Care, Community Based | 1101 N Piedmont Ave, Suite C, Rockmart, GA 30153 | 2011-01-19 |
1891879995 | Smith-lockwood, Inc. | Pharmacy | 114 S Marble Street, Rockm, Rockmart, GA 30153 | 2006-10-25 |
1427574698 | Franklin Reeves | Pharmacist | 802 Nathan Dean Bypass, Rockmart, GA 30153 | 2017-08-18 |
1780063339 | Emma Atherton-staples | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153 | 2015-05-28 |
1396295788 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 479 Nathan Dean Byp, Rockmart, GA 30153-1650 | 2016-10-10 |
1255712063 | Nursetrek Inc | Home Health | 826 W Elm St, #c, Rockmart, GA 30153-1727 | 2015-06-17 |
1679688220 | Umpon Sangmalee | Family Medicine | 826 C West Elm St, Rockmart, GA 30153-1727 | 2006-08-21 |
Find all providers in zip 30153 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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.