EAGLES LANDING WELLNESS AND CHIROPRACTIC CENTER INC (NPI# 1659591972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659591972 |
| Entity Type | Organization |
| Organization Name | EAGLES LANDING WELLNESS AND CHIROPRACTIC CENTER INC |
| Practice Address |
69 Old Jackson Rd Mcdonough GA 30252-3095 |
| Practice Telephone | 6784323303 |
| Practice Fax Number | 6784323307 |
| Mailing Telephone | 6784323303 |
| Mailing Fax Number | 6784323307 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | DR. STEPHANIE RYTEL-SMITH (OWNER) |
| Authorized Official Telephone | 6784323303 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR006719 | GA | Chiropractic Providers |
| Street Address |
69 OLD JACKSON RD |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-3095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033258611 | Stephanie Ann Rytel-smith | Chiropractor | 69 Old Jackson Rd, Mcdonough, GA 30252-3095 | 2007-02-06 |
| 1881975803 | Michelle Lynn Chambers | Chiropractor | 69 Old Jackson Rd, Mcdonough, GA 30252-3095 | 2011-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| 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 |
|---|---|---|---|---|
| 1639678402 | Russett Mclemore | Chiropractor | 308 Racetrack Rd, Mcdonough, GA 30252-6835 | 2018-02-07 |
| 1790144129 | Whitney Denton | Chiropractor | 850 Hampton Rd, Mcdonough, GA 30253-6514 | 2016-02-13 |
| 1306241120 | Robbyn Keating | Chiropractor | 2154 Highway 20 W, Mcdonough, GA 30253-7205 | 2014-10-23 |
| 1962632562 | Michelle Elizabeth Monasterski-klos | Chiropractor | 386 Racetrack Rd, Mcdonough, GA 30252-1022 | 2009-07-17 |
| 1366611683 | Chapman Chiropractic Center, Inc. | Chiropractor | 157 Keys Ferry St, Mcdonough, GA 30253-3224 | 2008-02-21 |
| 1336358530 | Michael R. Johnston, D.c., P.C. | Chiropractor | 15 Jonesboro St # B, Mcdonough, GA 30253-3116 | 2007-05-22 |
| 1033258611 | Stephanie Ann Rytel-smith | Chiropractor | 69 Old Jackson Rd, Mcdonough, GA 30252-3095 | 2007-02-06 |
| 1801947544 | Daniel Mark Gerhardt | Chiropractor | 2101 Jonesboro Rd, Mcdonough, GA 30253-5915 | 2007-01-16 |
| 1023178183 | Galen B Hoover | Chiropractor | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 | 2006-12-11 |
| 1811073646 | Absolute Healthcare of Mcdonough | Chiropractor | 902 Pavilion Ct, Mcdonough, GA 30253 | 2006-10-27 |
| Find all providers in MCDONOUGH | ||||
Please comment or provide details below to improve the information on EAGLES LANDING WELLNESS AND CHIROPRACTIC CENTER INC.
| 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.