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Contact Information

BACK 2 HEALTH LLC
819 FOREST PKWY STE B
FOREST PARK, GA30297-2281
 Phone: 678-919-1333
 Fax: 404-500-3381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK 2 HEALTH LLC

NPI # 1629571211
LBN Legal business name BACK 2 HEALTH LLC
Authorized official BERNADETTE MERRICKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2018
Last updated 08/08/2019 - About 7 years ago
Identifiers
GA License # CHIR007062
GA Medicaid 856208049A
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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