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Contact Information

BRUSSACK FAMILY CHIROPRACTIC
287 SCENIC HWY
LAWRENCEVILLE, GA30046-8402
 Phone: 770-962-0228
 Fax: 770-962-4181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

111NN0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRUSSACK FAMILY CHIROPRACTIC

NPI Number 1407103278
LBN Legal business name BRUSSACK FAMILY CHIROPRACTIC
Authorized official JERROLD BRUSSACK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2012
Last updated 08/10/2012 - About 14 years ago
Identifiers
GA License # 002639
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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