Prohealth Integrated Medical

LBN: Prohealth Integrated Medical
Prohealth Integrated Medical is an health care organization with primary practice located at 1431 Riverside Pkwy , Lawrenceville GA 30043-5946. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Legal Medicine. Other Service Providers / Legal Medicine is the primary health care specialty. Prohealth Integrated Medical can be contacted via phone (770) 513-0111, or through Willis, Christopher P via phone (770) 513-0111.

Contact Information

Primary practice address
1431 Riverside Pkwy Lawrenceville GA 30043-5946
Phone: (770) 513-0111
Fax: (770) 513-3731
Website:
Map and Directions
Authorized official contact:
Name: Willis, Christopher P Doctor of Chiropractic (DC)
Phone: (770) 513-0111

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR005026 Georgia
Other Service Providers / Legal Medicine 173000000X 016356 Georgia

Profile Details

NPI number 1588782346
LBN Legal business name Prohealth Integrated Medical
DBA Doing business as
Authorized official Willis, Christopher P Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 8th, 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 1588782346 NPPES
Georgia Other 1841244175 NPI NUMBER
Georgia Other 1841233905 NPI NUMBER

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