# CHIMEDICAL DIAGNOSTICS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790105740
- **Authorized official:** DR. ANTHONY HUMAN D.O. (MEDICAL MANAGER)
- **Authorized official phone:** (214) 619-2300

## Contact information

- **Practice address:** 541 FOREST PKWY, SUITE \#14, FOREST PARK, GA 30297-6144
- **Practice address phone:** (877) 298-7705
- **Practice address fax:** (866) 837-9033
- **Mailing address:** PO BOX 1611, PHENIX CITY, AL 36868-1611
- **Mailing address phone:** (877) 298-7705
- **Mailing address fax:** (866) 837-9033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4974 | GA | — |
| 208D00000X | General Practice Physician | 056072 | GA | Yes |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/17/2014