Provider Demographics
NPI:1841328986
Name:CENTURION, JAVIER (DC)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:CENTURION
Suffix:
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 1:1031 PARK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-6060
Mailing Address - Country:US
Mailing Address - Phone:706-705-1566
Mailing Address - Fax:
Practice Address - Street 1:1031 PARK DR STE 1
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-6060
Practice Address - Country:US
Practice Address - Phone:706-705-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010533111N00000X
FLCRT31532247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist