Provider Demographics
NPI:1992138689
Name:HARMONY CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:HARMONY CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:ROBERSON
Authorized Official - Last Name:LUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-289-6313
Mailing Address - Street 1:1241 CANTON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4397
Mailing Address - Country:US
Mailing Address - Phone:404-400-3332
Mailing Address - Fax:
Practice Address - Street 1:1241 CANTON ST STE 100
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4397
Practice Address - Country:US
Practice Address - Phone:404-400-3332
Practice Address - Fax:888-477-9416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARMONY CHIROPRACTIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-16
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G703882Medicare PIN