# BACK 2 HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629571211
- **Authorized official:** DR. BERNADETTE MERRICKS DC (OWNER)
- **Authorized official phone:** (678) 919-1333

## Contact information

- **Practice address:** 819 FOREST PKWY STE B, FOREST PARK, GA 30297-2281
- **Practice address phone:** (678) 919-1333
- **Practice address fax:** (404) 500-3381
- **Mailing address:** 819 FOREST PKWY STE B, FOREST PARK, GA 30297-2281
- **Mailing address phone:** (678) 919-1333
- **Mailing address fax:** (404) 500-3381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | CHIR007062 | GA | Yes |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 08/08/2019
