Provider Demographics
NPI:1740037522
Name:LITHONIA ACCIDENT CARE
Entity type:Organization
Organization Name:LITHONIA ACCIDENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-864-9849
Mailing Address - Street 1:7996 ROCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5843
Mailing Address - Country:US
Mailing Address - Phone:770-864-9849
Mailing Address - Fax:470-777-2534
Practice Address - Street 1:7996 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5843
Practice Address - Country:US
Practice Address - Phone:770-864-9849
Practice Address - Fax:470-777-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty