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● Active Type 2 · Organization

The Back Shack Llc

Chiropractor·Stone Mountain, GA· NPI 1003051343 · Enumerated 2008 · 17 years on NPI
The Back Shack Llc is 1 of 5,007 chiropractor organizations in Georgia.
NPI age
17 years
Enumerated 2008-12-15
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Feschuk
Doctor
Last NPPES update
2013-04-23
Source: CMS NPPES provider record

How this organization compares

Across 5007 active chiropractor providers in Georgia.

NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2013

2008-12Enumerated in NPPES
2008 2013

Where they practice

Primary practice location
6740 James B Rivers Dr
Stone Mountain, GA 300832235
📞 4047759642
Mailing address
6740 James B Rivers Dr
Stone Mountain, GA 300832235
📞 4047759642

Authorized official

David Feschuk
Doctor
📞 4047759642

Other providers sharing this address

4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.

Specialties

  • Chiropractor Primary
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    GA license #CHIR006338 taxonomy 111N00000X

Practice context

Shared NPPES address. 4 individual providers use this primary address. This does not prove employment or affiliation.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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