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SOUTHEAST CHIROPRACTIC CLINIC LLC
NPI 1467796581
Chiropractor in Vidalia, GA

Active since November 15, 2012
308 JACKSON ST, VIDALIA, GA 30474(912) 585-7124 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southeast Chiropractic Clinic Llc NPPES

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

SOUTHEAST CHIROPRACTIC CLINIC LLC (NPI 1467796581) is a healthcare organization registered as a chiropractor in Vidalia, Georgia and active in the NPI registry since November 2012. The organization lists Heidi Zubeck, Manager, as its authorized official.

NPPES Registry Identity

NPI1467796581
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHEAST CHIROPRACTIC CLINIC LLC
Location Address308 JACKSON STVidalia, GA 30474-4708
Mailing Address107 Reserve CirSaint Marys, GA 31558-4278 · (912) 585-7124
Phone(912) 585-7124
Organization SubpartNo
Authorized OfficialHeidi ZubeckManager · (912) 585-7124
Enumeration DateNovember 15, 2012
✔ NPI 1467796581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR008450
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.
308 JACKSON ST, Vidalia, GA 30474
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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

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 Southeast Chiropractic Clinic LLC's NPI number?

The NPI number for Southeast Chiropractic Clinic LLC is 1467796581. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Southeast Chiropractic Clinic LLC located?

Southeast Chiropractic Clinic LLC is located at 308 Jackson St, Vidalia, GA 30474. The listed phone number is (912) 585-7124.

What is Southeast Chiropractic Clinic 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 Southeast Chiropractic Clinic LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.