Healthcare Provider Details
I. General information
NPI: 1467068361
Provider Name (Legal Business Name): RC CHIROPRACTIC & PERSONAL INJURY CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3547 PEACHTREE INDUSTRIAL BLVD STE 10
DULUTH GA
30096-1419
US
IV. Provider business mailing address
3547 PEACHTREE INDUSTRIAL BLVD STE 10
DULUTH GA
30096-1419
US
V. Phone/Fax
- Phone: 844-722-4470
- Fax:
- Phone: 844-722-4470
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARTHUR
MATTHEWS, III
III
Title or Position: OWNER
Credential: DC
Phone: 844-722-4470