NPI 1205543923

Lotus of Life Chiropractic

Organisation Chiropractor Decatur, GA

Practice location

Address: 603 Church St, Decatur, GA 30030-2517
Phone: (404) 377-7743

Authorised official

Name: Ebonie Wallace
Title: Office Manager
Phone: (404) 377-7743

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1205543923
Entity type: Organization
NPI issued: 2 Nov 2022
Record last updated: 2 Nov 2022

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.