Provider Demographics
NPI:1053733279
Name:H & M HEALTH GROUP LLC
Entity type:Organization
Organization Name:H & M HEALTH GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:731-445-1163
Mailing Address - Street 1:7160 MOON RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-1753
Mailing Address - Country:US
Mailing Address - Phone:731-445-1163
Mailing Address - Fax:
Practice Address - Street 1:7160 MOON RD
Practice Address - Street 2:SUITE G
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-1753
Practice Address - Country:US
Practice Address - Phone:731-445-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty