Healthcare Provider Details
I. General information
NPI: 1477434744
Provider Name (Legal Business Name): CHIROJEX
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2449 TOWNE LAKE PKWY
WOODSTOCK GA
30189-5525
US
IV. Provider business mailing address
2449 TOWNE LAKE PKWY
WOODSTOCK GA
30189-5525
US
V. Phone/Fax
- Phone: 770-592-2505
- Fax: 770-592-2433
- Phone: 770-592-2505
- Fax: 770-592-2433
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081N0008X |
| Taxonomy | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHANIE
LEMOS
Title or Position: OWNER
Credential: DC
Phone: 336-880-0638