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100YEARDOC, LLC
NPI 1194291021
Chiropractor in Marietta, GA

Active since October 18, 2018
1135 S MARIETTA PKWY SE, MARIETTA, GA 30060(770) 422-9288 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2018, Oct 18, 2018 (2 updates tracked since 2018).

About 100yeardoc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

100YEARDOC, LLC (NPI 1194291021) is a healthcare organization registered as a chiropractor in Marietta, Georgia and active in the NPI registry since October 2018. The organization lists Joshua M Wilson, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1194291021
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name100YEARDOC, LLC
Location Address1135 S MARIETTA PKWY SEMarietta, GA 30060-2830
Mailing Address1135 S Marietta Pkwy SeMarietta, GA 30060-2811
Phone(770) 422-9288
Organization SubpartNo
Authorized OfficialJoshua M WilsonChiropractor · (770) 422-9288
Enumeration DateOctober 18, 2018
Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration
✔ NPI 1194291021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition

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 column and its interrelationship with other body systems.

1135 S MARIETTA PKWY SE, Marietta, GA 30060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIROPRACTIC CENTER OF MARIETTA PC
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-9288
KENT D VANDERSLICE DC PC
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-1059
DR. MARGARET TERESA SLIWKA D.C.
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-9288
RANSOM WAYNE GABY DC
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-9288
PEACHY KEEN CHIROPRACTIC, LLC
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-9288
ANCHOR CHIROPRACTIC OF MARIETTA
Chiropractor
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060
Cobb County (770) 422-9288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 100yeardoc, LLC's NPI number?

The NPI number for 100yeardoc, LLC is 1194291021. It was assigned to this organization in the NPPES registry on October 18, 2018.

Where is 100yeardoc, LLC located?

100yeardoc, LLC is located at 1135 S Marietta Pkwy SE, Marietta, GA 30060. The listed phone number is (770) 422-9288.

What is 100yeardoc, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for 100yeardoc, LLC was last updated on October 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.