Provider Demographics
NPI:1235843483
Name:FLINT HEALTH ENHANCEMENTS, LLC
Entity Type:Organization
Organization Name:FLINT HEALTH ENHANCEMENTS, LLC
Other - Org Name:JEFFERSON CHIRO AND ADVANCED MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-708-2277
Mailing Address - Street 1:PO BOX 578
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-0012
Mailing Address - Country:US
Mailing Address - Phone:706-708-2277
Mailing Address - Fax:706-335-3720
Practice Address - Street 1:1057 WINDER HWY
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549-6314
Practice Address - Country:US
Practice Address - Phone:706-708-2277
Practice Address - Fax:706-335-3720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty