Provider Demographics
NPI:1912194879
Name:VININGS FAMILY CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:VININGS FAMILY CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-955-9355
Mailing Address - Street 1:1675 CUMBERLAND PKWY SE
Mailing Address - Street 2:STE. 205
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6359
Mailing Address - Country:US
Mailing Address - Phone:770-955-9355
Mailing Address - Fax:
Practice Address - Street 1:1675 CUMBERLAND PKWY SE
Practice Address - Street 2:STE. 205
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6359
Practice Address - Country:US
Practice Address - Phone:770-955-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty