Provider Demographics
NPI:1487365979
Name:MORE LIFE CHIROPRACTIC
Entity type:Organization
Organization Name:MORE LIFE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIYA
Authorized Official - Middle Name:EINE ESTONE
Authorized Official - Last Name:PRIESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-825-7034
Mailing Address - Street 1:4613 SHADOW MOSS CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-9297
Mailing Address - Country:US
Mailing Address - Phone:706-825-7034
Mailing Address - Fax:
Practice Address - Street 1:1250 MERRY ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-3845
Practice Address - Country:US
Practice Address - Phone:706-586-1077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty