Maltese Chiropractic Life Center, P.C.
Clinic/Center in Lilburn, GA. Organization (NPI-2).
NPI number1770840472
StatusActive
Last updated in NPPESApr 18, 2012
Details
- NPI
- 1770840472
- Entity type
- Organization (NPI-2)
- Legal business name
- Maltese Chiropractic Life Center, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 18, 2012
- Last updated
- Apr 18, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | CHIR02313 | GA | Yes |
Practice location
900 Indian Trail Lilburn Rd Nw Ste 9Lilburn, GA 30047-6869
Phone 770-381-0491
Mailing address
900 Indian Trail Lilburn Rd Nw Ste 9Lilburn, GA 30047-6869
Phone 770-381-0491
Authorized official
John P. Maltese
Ceo
7703810491
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