MEDICARE: FULFILLMENT CHIROPRACTIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1912862350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FULFILLMENT CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	900 GULF BLVD APT 202
Second Line	:
City	:	INDIAN ROCKS BEACH
State	:	FL
Zip	:	33785-2726
Country	:	US
Telephone Number	:	215-694-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 MARY ELIZA TRCE NW STE 201
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-1096
Country	:	US
Telephone Number	:	215-694-4831
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOT WILLIS MCCORMICK
Credential	:	DC
Telephone Number	:	215-694-4831

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/23/2025

Similar Medicare Providers

1114706132 — RADIANCE BEHAVIOR THERAPY, LLC
Practice Location Address:

3901 MARY ELIZA TRCE NW STE 202
MARIETTA, GA
30064-1096

Practice Phone: 470-615-6277
Practice Fax:

1780407007 — TIFFANY YOUNG
Practice Location Address:

3625 DALLAS HWY SW STE 850
MARIETTA, GA
30064-5925

Practice Phone: 510-717-0225
Practice Fax:

1629464839 — BRITTANY OSBORNE
Practice Location Address:

50 WHITLOCK PL SW STE 100
MARIETTA, GA
30064-3164

Practice Phone: 404-465-4706
Practice Fax:

1104789825 — HEDVIKA DOCKING APC, NCC
Practice Location Address:

707 WHITLOCK AVE SW STE G5
MARIETTA, GA
30064-4653

Practice Phone: 678-216-2674
Practice Fax:

1174487219 — KEISHA NICOLE MCCLURE LMT
Practice Location Address:

3625 DALLAS HWY SW STE 840
MARIETTA, GA
30064-5924

Practice Phone: 678-571-1203
Practice Fax:

1265392062 — ERICA FORTINA
Practice Location Address:

540 POWDER SPRINGS ST , C-17
MARIETTA, GA
30064

Practice Phone: 470-502-6310
Practice Fax:

Directions to “FULFILLMENT CHIROPRACTIC, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.