FULLER LIFE CHIROPRACTIC CENTER (NPI# 1265578322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265578322 |
| Entity Type | Organization |
| Organization Name | FULLER LIFE CHIROPRACTIC CENTER |
| Practice Address |
40 C Eastbrook Bend Peachtree City GA 30269 |
| Mailing Address |
Po Box 307 Manchester GA 31816 |
| Practice Telephone | 6784324755 |
| Practice Fax Number | 6784324753 |
| Mailing Telephone | 6784324755 |
| Mailing Fax Number | 6784324753 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-01-13 |
| Authorized Official Name | MR. RONALD FULLER (PRESIDENT) |
| Authorized Official Telephone | 6784324755 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | FULLER LIFE CHIROPRACTICE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688071 | Fuller Life Chiropractic Center | Chiropractor | 6298 Veterans Parkway Ste 10e, Columbus, GA 31909 | 2013-01-15 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
| Street Address |
40 C EASTBROOK BEND |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720235666 | Robert E Mayfield | Chiropractor | 40 C Eastbrook Bend, Peachtree City, GA 30269 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| 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 |
|---|---|---|---|---|
| 1598257214 | Philip Bruce Crane | Chiropractor | 23 Eastbrook Bnd Ste 201, Peachtree City, GA 30269-1554 | 2018-05-30 |
| 1205359668 | Dionne Anderson | Chiropractor | 40 Eastbrook Bnd Ste C, Peachtree City, GA 30269-1567 | 2017-07-18 |
| 1124579826 | Bryan Hammer | Chiropractor | 424 Crosstown Dr, Peachtree City, GA 30269-2915 | 2016-10-18 |
| 1447613229 | Kristi Hellenbrand | Chiropractor | 101 Robinson Bend Trl, Peachtree City, GA 30269-2318 | 2016-03-30 |
| 1235524141 | Samaira Y Dumpson | Chiropractor | 40c Eastbrook Brend, Peachtree City, GA 30269 | 2015-03-30 |
| 1326480518 | Julius Bythewood | Chiropractor | 3200 Shakerag Hl Ste A, Peachtree City, GA 30269-6524 | 2013-07-29 |
| 1316383292 | Joseph Harb | Chiropractor | 1219 N Peachtree Pkwy, Peachtree City, GA 30269-1743 | 2013-05-17 |
| 1083928642 | Stacy Karzin | Chiropractor | 145 Governors Square, Suite E, Peachtree City, GA 30269-3386 | 2010-08-05 |
| 1598097172 | Sherra Bryant Conde | Chiropractor | 40 Eastbrook Bnd, Peachtree City, GA 30269-1567 | 2010-02-05 |
| 1669665030 | Peachtree City Chiropractic | Chiropractor | 1117 Crosstown Ct., Peachtree City, GA 30269-2951 | 2007-08-20 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on FULLER LIFE CHIROPRACTIC CENTER.
| 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.