Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Decatur Neck and Back

Organization Rehabilitation Chiropractor · NPI 1780880302

Decatur Neck and Back is a Rehabilitation Chiropractor in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

960 Herrington Rd Ste B
Lawrenceville, GA 30044-7212
Phone: (770) 963-5585
Fax: (770) 682-7636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence CHIR008031 (GA)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence CHIR006452 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 016356 (GA)

Record details

NPI number1780880302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Banguilan — Office Manager · (770) 963-5585
Other names Georgia Neck And Back
NPI enumeratedJune 21, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address960 Herrington Rd, Suite B, Lawrenceville, GA 30044-7212

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