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Contact Information

BACK TO GENESIS CHIROPRACTIC, PC
3812 AUSTELL RD SW
MARIETTA, GA30008-5863
 Phone: 678-905-0799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO GENESIS CHIROPRACTIC, PC

NPI Number 1306159900
LBN Legal business name BACK TO GENESIS CHIROPRACTIC, PC
Authorized official LESLIE OLSON - (ADVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2010
Last updated 03/20/2014 - About 12 years ago
Identifiers
GA License # CHIR008150
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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