100 Chiro Anthony Llc | |
15 Thomas Grace Annex Ln Ste 450, Sharpsburg, GA 30277-3654 | |
(770) 703-4011 | |
Not Available |
Full Name | 100 Chiro Anthony Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 15 Thomas Grace Annex Ln Ste 450, Sharpsburg, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184226284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Zachary Jason Anthony |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477156511 PECOS PAC ID: 3870909690 Enrollment ID: I20210312002391 |
Mailing Address | Practice Location Address |
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100 Chiro Anthony Llc 15 Thomas Grace Annex Ln Ste 450, Sharpsburg, GA 30277-3654 Ph: () - | 100 Chiro Anthony Llc 15 Thomas Grace Annex Ln Ste 450, Sharpsburg, GA 30277-3654 Ph: (770) 703-4011 |
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