Provider Demographics
NPI:1982881348
Name:NATURE'S WAY CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:NATURE'S WAY CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZAJAC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-265-7339
Mailing Address - Street 1:6564 HIGHWAY 53 E
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-6806
Mailing Address - Country:US
Mailing Address - Phone:706-265-7339
Mailing Address - Fax:706-216-1209
Practice Address - Street 1:6564 HIGHWAY 53 E
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6806
Practice Address - Country:US
Practice Address - Phone:706-265-7339
Practice Address - Fax:706-216-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4556Medicare PIN