Provider Demographics
NPI:1649642091
Name:DR. JAMES T. NESSING D.C., P.C.
Entity type:Organization
Organization Name:DR. JAMES T. NESSING D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:NESSING
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PC
Authorized Official - Phone:478-743-7575
Mailing Address - Street 1:432 CORBIN AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2010
Mailing Address - Country:US
Mailing Address - Phone:478-743-7575
Mailing Address - Fax:
Practice Address - Street 1:432 CORBIN AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2010
Practice Address - Country:US
Practice Address - Phone:478-743-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty