100 CHIRO BOURNE LLC
NPI 1386362978
Chiropractor in Mcdonough, GA

Active since August 18, 2022
3512 HIGHWAY 155 N STE A2, MCDONOUGH, GA 30252(504) 333-9084 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Aug 18, 2022 (2 updates tracked since 2022).

About 100 Chiro Bourne Llc NPPES

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

100 CHIRO BOURNE LLC (NPI 1386362978) is a healthcare organization registered as a chiropractor in Mcdonough, Georgia and active in the NPI registry since August 2022. The organization lists Raven Michelle House-bourne, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1386362978
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name100 CHIRO BOURNE LLC
Location Address3512 HIGHWAY 155 N STE A2Mcdonough, GA 30252-5506
Mailing Address403 Darter Dr NwKennesaw, GA 30144-5083 · (504) 333-9084
Organization SubpartNo
Authorized OfficialRaven Michelle House-bourneDoctor/owner · (504) 333-9084
Enumeration DateAugust 18, 2022
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1386362978 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.
3512 HIGHWAY 155 N STE A2, Mcdonough, GA 30252

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 2

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

Chiropractor
3512 HIGHWAY 155 N STE A2
MCDONOUGH, GA 30252
Chiropractor
3512 HIGHWAY 155 N STE A2
MCDONOUGH, GA 30252

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 100 Chiro Bourne LLC's NPI number?

The NPI number for 100 Chiro Bourne LLC is 1386362978. It was assigned to this organization in the NPPES registry on August 18, 2022.

Where is 100 Chiro Bourne LLC located?

100 Chiro Bourne LLC is located at 3512 Highway 155 N Ste A2, Mcdonough, GA 30252. The listed phone number is (504) 333-9084.

What is 100 Chiro Bourne 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 100 Chiro Bourne LLC was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.