Organization
BACK 2 HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE MERRICKS DC (OWNER)
(678) 919-1333
Entity
Organization
Contact information
Practice address
819 FOREST PKWY STE B, FOREST PARK, GA 30297-2281
(678) 919-1333
(404) 500-3381
Mailing address
819 FOREST PKWY STE B, FOREST PARK, GA 30297-2281
(678) 919-1333
(404) 500-3381
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR007062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856208049A
—
GA
Enumeration date
03/09/2018
Last updated
08/08/2019
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