LIFE OF GEORGIA CHIROPRACTIC CLINIC


Address: 1914 Central Ave, Suite A, Augusta, GA 30904-4126
Phone: 7067332211

LIFE OF GEORGIA CHIROPRACTIC CLINIC (NPI# 1629221213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629221213
Entity Type Organization
Organization Name LIFE OF GEORGIA CHIROPRACTIC CLINIC
Other Organization Name LIFE OF GEORGIA CHIROPRACTIC CLINIC, PC
Practice Address 1914 Central Ave
Suite A
Augusta
GA 30904-4126
Practice Telephone 7067332211
Practice Fax Number 7067332271
Mailing Telephone 7067332211
Mailing Fax Number 7067332271
Enumeration Date 2008-10-28
Last Update Date 2019-09-09
Authorized Official Name DR. WILLIAM O. WALKER (CHIROPRACTOR)
Authorized Official Telephone 7067332211
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor Chiropractic Providers
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
1346 GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA THIRD PARTY 1376788406 01

Other Provider/Organization Names

Other Name Type Code
Life of Georgia Chiropractic Clinic, PC Doing Business As Name - Organization

Office Location

Street Address 1914 CENTRAL AVE
SUITE A
City AUGUSTA
State GA
Zip Code 30904-4126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376788406 Central Avenue Chiropractic Clinic Clinic/Center 1914 Central Ave, Augusta, GA 30904-4126 2008-12-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891003489 United Rehab Inc Clinic/Center 2451 Milledgeville Road, Augusta, GA 30904 2010-09-17
1972929024 Sundance Rehabilitation Agency, Inc Clinic/Center 724 Greene St, Augusta, GA 30901-2359 2014-03-13
1578870986 United Rehab Inc. Clinic/Center 2122 Cumming Rd, Augusta, GA 30904-4334 2010-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336763150 Esop Rehabilitation, LLC Clinic/Center 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 2020-06-08
1912566811 Tattnall Hospital Company, LLC Clinic/Center 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 2019-06-13
1790289544 Effingham Rehab Services, LLC Clinic/Center 105 E Bacon St, Pembroke, GA 31321 2018-03-19
1457874976 Effingham Rehab Services, Inc Clinic/Center 111 Jazie Dr Ste E, Savannah, GA 31410-1908 2017-07-18
1770006272 Effingham Rehab Services, Inc Clinic/Center 22 W Oglethorpe Ave, Savannah, GA 31401-3702 2017-07-18
1588187090 Effingham Rehab Services, Inc Clinic/Center 475 S Main St Ste B, Hinesville, GA 31313-1365 2017-07-18
1447773908 Effingham Rehab Services, Inc Clinic/Center 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 2017-07-17
1437689288 Dr. Peggy Marbach Vestibular Rehab Specialist, LLC Clinic/Center 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 2017-06-14
1699207274 Vestibular Linc LLC Clinic/Center 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 2017-04-01
1346784113 Genesis Eldercare Rehabilitation Services LLC Clinic/Center 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 2016-12-13
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Competitor

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City AUGUSTA
Zip Code 30904

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Dataset Information

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.

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