AC SPINE & WELLNESS CENTER LLC (NPI# 1013265479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013265479 |
Entity Type | Organization |
Organization Name | AC SPINE & WELLNESS CENTER LLC |
Practice Address |
217 Scenic Hwy # 124 Lawrenceville GA 30046-5621 |
Practice Telephone | 7705138922 |
Practice Fax Number | 7705130547 |
Mailing Telephone | 7705138922 |
Mailing Fax Number | 7705130547 |
Enumeration Date | 2012-08-16 |
Last Update Date | 2016-12-12 |
Authorized Official Name | JEANETTE E ALTIERI (OWNER) |
Authorized Official Telephone | 7705138922 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Street Address |
217 SCENIC HWY # 124 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-5621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417020710 | Louis Cavallo | Chiropractor | 217 Scenic Hwy # 124, Lawrenceville, GA 30045-5621 | 2006-11-16 |
1588931117 | Ac Spine & Wellness Center Inc | Chiropractor | 217 Scenic Hwy # 124, Lawrenceville, GA 30046-5621 | 2011-11-28 |
1821162827 | Jeanette Altieri | Chiropractor | 217 Scenic Hwy # 124, Lawrenceville, GA 30045-5621 | 2006-11-20 |
1831262914 | Ac Chiropractic Life Center | Chiropractor | 217 Scenic Hwy # 124, Lawrenceville, GA 30046-5621 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689290942 | Shelby Kemp | Chiropractor | 455 Grayson Hwy Ste 107, Lawrenceville, GA 30046-7159 | 2020-06-23 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1366002651 | Princeton Brain Spine and Sports Medicine, LLC | Chiropractor | 558 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 | 2019-06-18 |
1205491313 | Youngoh Kim | Chiropractor | 1770 Rutland Pass Dr, Lawrenceville, GA 30045-3726 | 2019-05-03 |
1568934719 | Renee Christine Robus | Chiropractor | 136 Franklin Corner Rd Ste 110, Lawrenceville, NJ 08648-2586 | 2018-12-28 |
1174005284 | Rita Patel | Chiropractor | 2709 Still Farms Pl, Lawrenceville, GA 30043-6156 | 2018-09-05 |
1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
1750801205 | Revive Medical Center, LLC | Chiropractor | 753 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4312 | 2017-06-26 |
1043602170 | Tn Chiropractic Clinic, LLC | Chiropractor | 1848 Old Norcross Rd Ste A400, Lawrenceville, GA 30044-2311 | 2015-02-26 |
1386045706 | Bruce R. Brilliantine | Chiropractor | 2 Princess Road, Suiet #2, Lawrenceville, NJ 08648 | 2014-09-05 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
Please comment or provide details below to improve the information on AC SPINE & WELLNESS CENTER LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.