Provider Demographics
NPI:1124356050
Name:SYNERGY SPINE AND JOINT CENTERS, LLC
Entity Type:Organization
Organization Name:SYNERGY SPINE AND JOINT CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-364-3940
Mailing Address - Street 1:211 PLEASANT HOME RD
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0518
Mailing Address - Country:US
Mailing Address - Phone:706-364-3940
Mailing Address - Fax:706-364-3960
Practice Address - Street 1:211 PLEASANT HOME RD
Practice Address - Street 2:SUITE D-1
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-0518
Practice Address - Country:US
Practice Address - Phone:706-364-3940
Practice Address - Fax:706-364-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007940111N00000X
GA038689207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty