=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881084291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADJUSTING HEALTH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2015
-----------------------------------------------------
Last Update Date | 01/23/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4319 COVINGTON HWY 311
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30035-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-286-6937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4319 COVINGTON HWY 311
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30035-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-286-6937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CHIROPRACTOR
-----------------------------------------------------
Name | JESSICA WILLIAMS
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 404-683-9049
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CHIR009376
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111NP0017X
-----------------------------------------------------
Taxonomy Name | Pediatric Chiropractor
-----------------------------------------------------
License Number | CHIR009376
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------