DR. LACRETIA TATHAM MUNROE (NPI# 1871706788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871706788 |
| Entity Type | Individual |
| Full Name | DR. LACRETIA TATHAM MUNROE |
| Other Name | DR. LACRETIA MUNROE STEWART |
| Credential | D.C. |
| Practice Address |
Woodstock Family Sports Chiro Dba A Healthy Body 6124 Hickory Flat Hwy Suite D Canton GA 30115 |
| Practice Telephone | 7707200865 |
| Practice Fax Number | 7707200865 |
| Mailing Telephone | 7707200865 |
| Mailing Fax Number | 7707200865 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NI0900X |
Chiropractor Specialization: Internist |
006694 | GA | Chiropractic Providers |
| X | 111NN0400X |
Chiropractor Specialization: Neurology |
006694 | GA | Chiropractic Providers |
| X | 111NN1001X |
Chiropractor Specialization: Nutrition |
006694 | GA | Chiropractic Providers |
| X | 111NR0200X |
Chiropractor Specialization: Radiology |
006694 | GA | Chiropractic Providers |
| X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
006694 | GA | Chiropractic Providers |
| X | 111NT0100X |
Chiropractor Specialization: Thermography |
006694 | GA | Chiropractic Providers |
| X | 111NX0100X |
Chiropractor Specialization: Occupational Health |
006694 | GA | Chiropractic Providers |
| X | 111NX0800X |
Chiropractor Specialization: Orthopedic |
006694 | GA | Chiropractic Providers |
| X | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
006694 | GA | Chiropractic Providers |
| X | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
006694 | GA | Chiropractic Providers |
| Street Address |
WOODSTOCK FAMILY SPORTS CHIRO DBA A HEALTHY BODY 6124 HICKORY FLAT HWY SUITE D |
| City | CANTON |
| State | GA |
| Zip Code | 30115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003180563 | Advanced Health Solutions, LLC | Chiropractor | 13190 Highway 92, Ste 70, Woodstock, GA 30188 | 2012-03-01 |
| 1740597947 | Joseph P Lombardi | Chiropractor | 924 Fox Ln Se, Marietta, GA 30067-5722 | 2010-09-09 |
| 1982873857 | Zone Healing Center-atlanta, LLC | Chiropractor | 931 Monroe Dr Ne, Suite C-206, Atlanta, GA 30308-1793 | 2008-02-26 |
| 1720101108 | Jay A Hammer | Chiropractor | 328 14th St Nw, Atlanta, GA 30318-5363 | 2007-04-09 |
| 1326178294 | Peter J Wilson | Chiropractor | 1269 Barclay Cir Se, Marietta, GA 30060-2903 | 2007-03-07 |
| 1952471278 | E. David Smith | Chiropractor | 9 Legion St, Ringgold, GA 30736-2369 | 2006-11-08 |
| 1225597487 | Theresa R Anderson | Chiropractor | 1099 Merchants Dr Ste B, Dallas, GA 30132-3005 | 2019-03-18 |
| 1679897227 | Sandra Bohorquez | Chiropractor | 5505 Roswell Rd, Suite 275, Atlanta, GA 30342-1985 | 2010-03-24 |
| 1427389162 | Michael Dellaria | Chiropractor | 11539 Park Woods Cir, Suite 602, Alpharetta, GA 30005 | 2010-01-20 |
| 1609990563 | Larry K Haberski | Chiropractor | 4203 Memorial Dr, Decatur, GA 30032-1206 | 2007-03-18 |
| Find all providers with the same taxonomy | ||||
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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.