| 100 Chiro Bourne Llc | |
|
3512 Highway 155 N Ste A2, Mcdonough, GA 30252-5506 | |
| (504) 333-9084 | |
| Not Available |
| Full Name | 100 Chiro Bourne Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3512 Highway 155 N Ste A2, Mcdonough, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386362978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Raven Michelle House-bourne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487372074 PECOS PAC ID: 2365803566 Enrollment ID: I20230808000457 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Bourne Llc 403 Darter Dr Nw, Kennesaw, GA 30144-5083 Ph: (504) 333-9084 | 100 Chiro Bourne Llc 3512 Highway 155 N Ste A2, Mcdonough, GA 30252-5506 Ph: (504) 333-9084 |
Virtue Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1046 Avalon Pkwy, Mcdonough, GA 30253 Phone: 770-329-8613 | |
Dr. Galen B Hoover, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 John Frank Ward Blvd, Mcdonough, GA 30253 Phone: 770-957-4165 Fax: 770-957-2003 | |
Dr. Stephanie Ann Rytel-smith, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 69 Old Jackson Rd, Mcdonough, GA 30252 Phone: 678-432-3303 Fax: 678-432-3307 | |
Greater Mcdonough Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1727 Highway 42 N, Mcdonough, GA 30253 Phone: 770-898-3670 | |
Robert Paul Howard, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 902 Pavilion Court, Mcdonough, GA 30253 Phone: 678-583-9583 Fax: 678-583-1083 | |
Dr. Jhenelle Fuller, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1046 Avalon Pkwy, Mcdonough, GA 30253 Phone: 770-329-8613 | |
Dr. Deva Arnelle Watson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 259 Jonesboro Rd, Mcdonough, GA 30253 Phone: 678-892-5573 Fax: 678-892-5574 |