Organization
SPINAL HEALTH & REHAB DEVELOPMENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. THOMAS D.C. (CEO)
(678) 456-9122
Entity
Organization
Contact information
Practice address
2360 BETHELVIEW RD, SUITE 104, CUMMING, GA 30040-1306
(678) 456-9122
(678) 456-9125
Mailing address
2360 BETHELVIEW RD, SUITE 104, CUMMING, GA 30040-1306
(678) 456-9122
(678) 456-9125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G700389
MEDICARE
GA
Enumeration date
12/16/2009
Last updated
12/16/2009
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