NPI 1013265479 · live from the CMS NPI Registry
Ac Spine & Wellness Center LLC
Chiropractor in Lawrenceville, GA. National Provider Identifier 1013265479, active.
NPI record
| NPI | 1013265479 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 217 Scenic Hwy # 124, Lawrenceville, GA 30046 |
| Practice phone | 770-513-8922 |
| Enumerated | August 16, 2012 |
| Last updated | December 12, 2016 |
| Authorized official | Jeanette Altieri, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | — |
| Physician Assistant | 363A00000X | — |
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.