EVENINGRED CHIROPRACTIC AND WELLNESS CENTER, LLC (NPI# 1801125315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801125315 |
Entity Type | Organization |
Organization Name | EVENINGRED CHIROPRACTIC AND WELLNESS CENTER, LLC |
Practice Address |
4343 Shallowford Rd Suite G3 Marietta GA 30062-5023 |
Practice Telephone | 7709987588 |
Practice Fax Number | 7709987589 |
Mailing Telephone | 7709987588 |
Mailing Fax Number | 7709987589 |
Enumeration Date | 2009-12-11 |
Last Update Date | 2009-12-11 |
Authorized Official Name | DR. STEVEN PAUL EVENINGRED (OWNER) |
Authorized Official Telephone | 7702650062 |
Authorized Official Credential | D.C, BBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 8435 | GA | Chiropractic Providers |
Street Address |
4343 SHALLOWFORD RD SUITE G3 |
City | MARIETTA |
State | GA |
Zip Code | 30062-5023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336173541 | David Glenn Markwell | Counselor | 4343 Shallowford Rd, Suite C 2, Marietta, GA 30062-5023 | 2006-07-11 |
1659910255 | Ann Monroe Tuemler | Occupational Therapist | 4343 Shallowford Rd, Bldg H Suite 4-b, Marietta, GA 30062-5023 | 2019-12-30 |
1528533379 | Madonna Beth Mezzanotte | Counselor | 4343 Shallowford Rd, Marietta, GA 30062-5023 | 2018-10-08 |
1356886410 | Kimberly Brooke Markwell | Counselor | 4343 Shallowford Rd, Suite C2, Marietta, GA 30062-5023 | 2016-12-28 |
1417400375 | Viviane Hens | Counselor | 4343 Shallowford Rd, Marietta, GA 30062-5023 | 2016-07-27 |
1659744829 | Abundant Life Counseling | Community/Behavioral Health | 4343 Shallowford Rd, Building C2, Marietta, GA 30062-5023 | 2015-11-09 |
1023492758 | Comprehensive Counseling and Therapy,llc | Community/Behavioral Health | 4343 Shallowford Rd, Suite C2, Marietta, GA 30062-5023 | 2015-07-13 |
1306256664 | Meadow Cove Counseling, LLC | Community/Behavioral Health | 4343 Shallowford Rd, Suite E-1, Marietta, GA 30062-5023 | 2014-05-07 |
1588081541 | Journey To Hope, LLC | Community/Behavioral Health | 4343 Shallowford Rd, Suite E-1, Marietta, GA 30062-5023 | 2014-03-27 |
1114365400 | Valerie Schwan | Counselor | 4343 Shallowford Rd, Suite 2, Marietta, GA 30062-5023 | 2013-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
Find all providers in zip 30062 |
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 |
---|---|---|---|---|
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 |
1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
1528677499 | Milan Modi | Chiropractor | 3225 Shallowford Rd Ste 700, Marietta, GA 30062-7026 | 2020-07-27 |
1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
1578199113 | Munntouya Hunt | Chiropractor | 2185 Palmyra Dr Se, Marietta, GA 30067-6681 | 2020-03-16 |
1851926083 | Nicholas Weston | Chiropractor | 2560 Delk Rd Se, Marietta, GA 30067-6323 | 2020-03-09 |
1003447418 | Nathan Bennett | Chiropractor | 3901 Mary Eliza Trce Nw Ste 201, Marietta, GA 30064-1096 | 2020-02-04 |
1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
1770129587 | Tuyet Thy Dang | Chiropractor | 2609 Deerfield Cir Sw, Marietta, GA 30064-4205 | 2019-11-27 |
Find all providers in MARIETTA |
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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.