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Contact Information

MIRACLE CHIROPRACTIC REHAB & WELLNESS
6853 DOUGLAS BLVD
DOUGLASVILLE, GA30135-7179
 Phone: 770-731-1114
 Fax: 404-682-1396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for MIRACLE CHIROPRACTIC REHAB & WELLNESS

NPI Number 1477361830
LBN Legal business name MIRACLE CHIROPRACTIC REHAB & WELLNESS
Authorized official RAMON ECTOR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2024
Last updated 12/19/2024 - More than a year ago
Identifiers n/a
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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