Provider Demographics
NPI:1407249824
Name:ADVANCE HEALTH CONNECTIONS LLC
Entity Type:Organization
Organization Name:ADVANCE HEALTH CONNECTIONS LLC
Other - Org Name:IN HARMONY HOLISTIC CHIROPRACTIC CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHATILLIA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:MCFARLIN-BALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-733-7365
Mailing Address - Street 1:213 OLD RADIUM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-3599
Mailing Address - Country:US
Mailing Address - Phone:229-518-9944
Mailing Address - Fax:
Practice Address - Street 1:213 OLD RADIUM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-3599
Practice Address - Country:US
Practice Address - Phone:229-518-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty