LARGER THAN LIFE CHIROPRACTIC (NPI# 1710343447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710343447 |
| Entity Type | Organization |
| Organization Name | LARGER THAN LIFE CHIROPRACTIC |
| Practice Address |
3040 Riverside Dr B3 Macon GA 31210-2521 |
| Practice Telephone | 4782576114 |
| Practice Fax Number | 4782385415 |
| Mailing Telephone | 4782576114 |
| Mailing Fax Number | 4782385415 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | DR. DUSTY LARGE (OWNER) |
| Authorized Official Telephone | 4782576114 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008931 | GA | Chiropractic Providers |
| Street Address |
3040 RIVERSIDE DR B3 |
| City | MACON |
| State | GA |
| Zip Code | 31210-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598044349 | Predita Howard | Counselor | 3040 Riverside Dr, Ste D-5, Macon, GA 31210-2521 | 2011-08-11 |
| 1871872622 | Gerinda Lockett | Counselor | 3040 Riverside Dr, Ste D-5, Macon, GA 31210-2521 | 2011-08-11 |
| 1235371295 | Fce-ppd Center | Physical Therapist | 3040 Riverside Dr, Suite C-5, Macon, GA 31210-2521 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1811516891 | G. Clark Stull, Dc PC | Chiropractor | 2169 Ingleside Ave, Macon, GA 31204-2029 | 2020-04-10 |
| 1255718789 | Yolanda Granberry-baker | Chiropractor | 1091 Overlook Pkwy, #618, Macon, GA 31210-5796 | 2015-05-05 |
| 1033459300 | Advance Wellness First | Chiropractor | 3355 Pio Nono Ave, Suite 7, Macon, GA 31206-3000 | 2013-02-25 |
| 1164728648 | Causey Chiropractic, LLC | Chiropractor | 1023 Riverside Dr, Macon, GA 31201-1913 | 2011-02-01 |
| 1780999474 | Chiromed Care of Stockbridge LLC | Chiropractor | 1818 Forsyth St, Suite 200, Macon, GA 31201-1183 | 2010-08-18 |
| 1700021698 | Fusion Back and Body Center, LLC | Chiropractor | 2605 Cherokee Ave, Macon, GA 31204-3923 | 2008-12-08 |
| 1598940355 | Dr Jay Cranford Dc LLC | Chiropractor | 3370 Vineville Ave, Suite 103, Macon, GA 31204-2345 | 2007-12-28 |
| 1912116914 | Ken Zoodsma & Associates | Chiropractor | 749 Riverside Drive Ln, Macon, GA 31201-2658 | 2007-05-22 |
| 1407988496 | Richard David Oster | Chiropractor | 618 Shurling Dr, Macon, GA 31211-1950 | 2007-03-12 |
| 1780729368 | Daniel Erthal | Chiropractor | 645 1st St Ste F, Macon, GA 31201-0805 | 2007-02-21 |
| Find all providers in MACON | ||||
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| 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.