Provider Demographics
NPI:1578773503
Name:N8 HEALTH, LLC
Entity Type:Organization
Organization Name:N8 HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TEDDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-614-9444
Mailing Address - Street 1:3635 BRASELTON HWY
Mailing Address - Street 2:SUITE B2
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-5933
Mailing Address - Country:US
Mailing Address - Phone:770-614-9444
Mailing Address - Fax:770-614-9644
Practice Address - Street 1:3635 BRASELTON HWY
Practice Address - Street 2:SUITE B2
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-5933
Practice Address - Country:US
Practice Address - Phone:770-614-9444
Practice Address - Fax:770-614-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP8042OtherPTAN
GAV04063Medicare UPIN