Organization
LIFE ALIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET CHENG (OWNER)
(706) 201-2486
Entity
Organization
Contact information
Practice address
411 W PONCE DE LEON AVE, DECATUR, GA 30030-2444
(404) 883-5289
Mailing address
1625 STANWOOD AVE SE, ATLANTA, GA 30317-1911
(706) 201-2486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
01/04/2026
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