Creekside Chiropractic Llc

LBN: Creekside Chiropractic Llc
Creekside Chiropractic Llc is an health care organization with primary practice located at 5947 Holly Springs Pkwy Suite 308, Holly Springs GA 30188-2447. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Creekside Chiropractic Llc can be contacted via phone (770) 744-8393, or through James, Tracy Ivy via phone (770) 744-8393.

Contact Information

Primary practice address
5947 Holly Springs Pkwy Suite 308 Holly Springs GA 30188-2447
Phone: (770) 744-8393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Tracy Ivy Doctor of Chiropractic (DC)
Phone: (770) 744-8393

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR006622 Georgia

Profile Details

NPI number 1376916452
LBN Legal business name Creekside Chiropractic Llc
DBA Doing business as
Authorized official James, Tracy Ivy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376916452 NPPES
Georgia Other 202I354499 MEDICARE PTAN
Georgia Other 202I358649 MEDICARE PTAN

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