Whalio Doctors

NPI 1003049008

Lifetime Chiropractic PC

Organisation Rehabilitation Chiropractor Villa Rica, GA

Practice location

Address
120 Prospecter Dr, Villa Rica, GA 30180-5331
Phone
(770) 459-5070
Fax
(770) 459-1070

Authorised official

Name
Jody a Matthews
Title
Owner
Phone
(770) 459-5070

Registered specialties

Rehabilitation Chiropractor Primary
Chiropractic Providers Taxonomy 111NR0400X

Registry record

NPI
1003049008
Entity type
Organization
NPI issued
25 Aug 2009
Record last updated
25 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.