FULLER LIFE CHIROPRACTIC CENTER
NPI 1558424093
Chiropractor in Manchester, GA

Active since December 18, 2006
23 EAST MAIN STREET, MANCHESTER, GA 31816(678) 432-4755(678) 432-4753 Get Directions Write a Review

NPPES record last updated: January 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fuller Life Chiropractic Center NPPES

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

FULLER LIFE CHIROPRACTIC CENTER (NPI 1558424093) is a healthcare organization registered as a chiropractor in Manchester, Georgia and active in the NPI registry since December 2006. The organization lists Ronald Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1558424093
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFULLER LIFE CHIROPRACTIC CENTER
Location Address23 EAST MAIN STREETManchester, GA 31816
Mailing AddressPo Box 307Manchester, GA 31816 · (678) 432-4755 · Fax (678) 432-4753
Fax(678) 432-4753
Organization SubpartYesParent: Fuller Life Chropractic Center
Authorized OfficialRonald FullerPresident · (678) 432-4755
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 13, 2013
NPI 1558424093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · 005224
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.
23 EAST MAIN STREET, Manchester, GA 31816

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3272GA · Group Number

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 Fuller Life Chiropractic Center's NPI number?

The NPI number for Fuller Life Chiropractic Center is 1558424093. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Fuller Life Chiropractic Center located?

Fuller Life Chiropractic Center is located at 23 East Main Street, Manchester, GA 31816. The listed phone number is (678) 432-4755.

What is Fuller Life Chiropractic Center'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 Fuller Life Chiropractic Center was last updated on January 13, 2013. 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.