VITAL LIFE CHIROPRACTIC (NPI# 1376069476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376069476 |
| Entity Type | Organization |
| Organization Name | VITAL LIFE CHIROPRACTIC |
| Practice Address |
865 Thornton Rd Ste B Lithia Springs GA 30122-2607 |
| Practice Telephone | 3343217275 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | RONNIE EARL BOLAR (OWNER) |
| Authorized Official Telephone | 3343217275 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR009917 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365996 | Vital Life Chiropractic | Chiropractor | 811 Disk Drive, Suite 101, Rapid City, SD 57701-7803 | 2015-01-08 |
| Street Address |
865 THORNTON RD STE B |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514928 | Ronnie Earl Bolar | Chiropractor | 865 Thornton Rd Ste B, Lithia Springs, GA 30122-2607 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| 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 |
|---|---|---|---|---|
| 1821514928 | Ronnie Earl Bolar | Chiropractor | 865 Thornton Rd Ste B, Lithia Springs, GA 30122-2607 | 2017-08-21 |
| 1619374865 | Jayme Fjeld | Chiropractor | 2727 Skyview Dr, Unit 154, Lithia Springs, GA 30122-5026 | 2014-12-02 |
| 1760522015 | Lithia Springs Family Chiropractic, Inc. | Chiropractor | 1758 Lee Rd, Lithia Springs, GA 30122-3025 | 2007-02-07 |
| 1114181542 | Progressive Health Center PC | Chiropractor | 560 Thornton Rd, Lithia Springs, GA 30122 | 2008-07-15 |
| 1568503118 | Tiffany Adkins Ringfield | Chiropractor | 1758 Lee Rd, Lithia Springs, GA 30122-3025 | 2007-02-08 |
| 1417097742 | Lesli Walker | Chiropractor | 1758 Lee Rd, Lithia Springs, GA 30122-3025 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
Please comment or provide details below to improve the information on VITAL LIFE CHIROPRACTIC.
| 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.