National Provider Identifier Database

MEDICLINIC
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.


Contact Information

MEDICLINIC
355 UPPER RIVERDALE RD
A8
JONESBORO, GA31141
Phone: 770-876-6972
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MEDICLINIC

NPI Number 1215270699
Legal business name
LBN
MEDICLINIC
Authorized official SARA BADIE - (BILLING)
Entity Organization
Organization subpart No
Enumeration date 04/03/2013
Last updated 04/03/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 007116

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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