Southside Spinal Center

LBN: Michelle Klos D.C. Inc.
Southside Spinal Center is an health care organization with primary practice located at 386 Racetrack Rd , Mcdonough GA 30252-1022. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Michelle Klos D.C. Inc. can be contacted via phone (678) 583-2982, or through Monasterski-Klos, Michelle Elizabeth via phone (678) 583-2982.

Contact Information

Primary practice address
386 Racetrack Rd Mcdonough GA 30252-1022
Phone: (678) 583-2982
Fax: (678) 583-2984
Website:
Map and Directions
Authorized official contact:
Name: Monasterski-Klos, Michelle Elizabeth Doctor of Chiropractic (DC)
Phone: (678) 583-2982

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X CHIROO8486 Georgia

Profile Details

NPI number 1760717573
LBN Legal business name Michelle Klos D.C. Inc.
DBA Doing business as Southside Spinal Center
Authorized official Monasterski-Klos, Michelle Elizabeth Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2009
Last updated Sep 6th, 2010 - about 15 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 1760717573 NPPES
Georgia Other 202G35640 MEDICARE OFFICE #

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