CLARK CHIROPRACTIC AND WELLNESS CARE, LLC


Address: 10725 Abercorn St Apt 143, Savannah, GA 31419-1441
Phone: 9129960961

CLARK CHIROPRACTIC AND WELLNESS CARE, LLC (NPI# 1710476098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710476098
Entity Type Organization
Organization Name CLARK CHIROPRACTIC AND WELLNESS CARE, LLC
Practice Address 10725 Abercorn St Apt 143
Savannah
GA 31419-1441
Practice Telephone 9129960961
Mailing Telephone 9129960961
Enumeration Date 2018-05-02
Last Update Date 2018-06-16
Authorized Official Name KIMBERLY DAVIS (CREDENTIALING SPECIALTSTS)
Authorized Official Telephone 9124843879
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CHIR009974 GA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA CHIROPRACTIC CHIR009974 01

Office Location

Street Address 10725 ABERCORN ST APT 143
City SAVANNAH
State GA
Zip Code 31419-1441

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912496282 Eric B Clark Jr. Chiropractor 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 2018-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255932653 Loving Hands Adult Care Home Health Aide 101 St. Goerge Blvd, 6t, Savannah, GA 31419 2020-11-03
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1699318139 Jessica Kaitlyn Matthewson Nurse Practitioner 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 2019-10-28
1679133219 Rebecca Denise Brown-tuyishimire Counselor Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 2019-06-17
1356900856 Julio Roberto Castellanos Jr. Behavior Technician 785 King George Blvd Ste 103, Savannah, GA 31419 2019-06-07
1669941761 Paul-david Arthur Cooper Peer Specialist 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 2018-11-19
1326538521 Jay Carter Jr. Social Worker 1170 Shawnee St., Savannah, GA 31419 2018-05-14
1245771070 Emily Robertson Nurse Practitioner 11133 Abercorm Street, Suite 10, Savannah, GA 31419 2017-03-13
1760833750 Cady-jo Steidle Behavioral Analyst 143 Sugar Mill Cir, Savannah, GA 31419 2016-06-30
1265881189 Mallory Williams Physician Assistant 11909 D. Mcauley Drive, Savannah, GA 31419 2016-06-10
Find all providers in zip 31419

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740820547 Layton Dexter Truax Jr. Chiropractor 400 Mall Blvd # 1c, Savannah, GA 31406-4861 2020-01-09
1508323395 Kelsey Mcginnis Chiropractor 403 E Harvey Dr, Savannah, MO 64485-2117 2019-02-27
1295232452 Benjamin Mathew Stabbe Chiropractor 2 Park of Commerce Blvd Ste D, Savannah, GA 31405-7410 2018-04-12
1356868947 Voss Chiropractic PC Chiropractor 5704 Skidaway Rd, Savannah, GA 31406-2254 2017-08-24
1790100782 Crossroads Chiropractic & Wellness Center Chiropractor 320 E. Montgomery Crossroads, Suite 30, Savannah, GA 31406 2014-02-27
1780029298 Samantha Joann Hornick Chiropractor 2 Park of Commerce Blvd, Suite D, Savannah, GA 31405-7410 2013-05-10
1972946101 Tabitha Erin Todd Chiropractor 6605 Abercorn St Ste 100, Savannah, GA 31405-5896 2013-04-08
1992081277 Erin Mitchell Chiropractor 115 Charlotte Dr Ste A, Savannah, GA 31410-1911 2011-10-31
1952697500 Feketellc Chiropractor 320 E Montgomery Xrd Ste 30, Savannah, GA 31406-4978 2011-06-22
1063647212 Sciatica and Disc Center Chiropractor 413 West Montgomery Crossroad, Unit 106, Savannah, GA 31406-3394 2009-05-18
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31419

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Dataset Information

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.

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