Provider Demographics
NPI:1831286343
Name:MEINERS, JOHN C JR (DC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:C
Last Name:MEINERS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1057
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30169
Mailing Address - Country:US
Mailing Address - Phone:770-720-4090
Mailing Address - Fax:770-720-0603
Practice Address - Street 1:1558 MARIETTA HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114
Practice Address - Country:US
Practice Address - Phone:770-720-4090
Practice Address - Fax:770-720-0603
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I353934Medicare PIN
GA35ZCDHMMedicare UPIN