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Contact Information

HEALTHCOACHDC II INC
2453 TOWNE LAKE PARKWAY
WOODSTOCK, GA30189
 Phone: 770-592-2505
 Fax: 770-592-2433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HEALTHCOACHDC II INC

NPI # 1164879136
LBN Legal business name HEALTHCOACHDC II INC
Authorized official PERI FLETCHER - (OWNER/ DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2016
Last updated 05/19/2016 - About 10 years ago
Identifiers
GA License # 7077
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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