Healthcare Provider Details
I. General information
NPI: 1649148545
Provider Name (Legal Business Name): YEAGER CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 WES WALKER MEMORIAL DR STE 200
BALL GROUND GA
30107-6522
US
IV. Provider business mailing address
145 WES WALKER MEMORIAL DR STE 200
BALL GROUND GA
30107-6522
US
V. Phone/Fax
- Phone: 770-407-6898
- Fax:
- Phone: 770-407-6898
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
DAVID
YEAGER
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 770-940-2100