| 100 Percent Chiropractic Atlanta Five Llc | |
|
4490 Chamblee Dunwoody Rd, Suite D, Atlanta, GA 30338-6237 | |
| (770) 457-1571 | |
| (770) 457-1572 |
| Full Name | 100 Percent Chiropractic Atlanta Five Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4490 Chamblee Dunwoody Rd, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598140279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 9525 (Georgia) | Primary |
| Provider Name | Samantha Jocynth Closeth March-howard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447646609 PECOS PAC ID: 2860885092 Enrollment ID: I20220210000317 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Percent Chiropractic Atlanta Five Llc 4490 Chamblee Dunwoody Rd, Ste. D, Atlanta, GA 30338-6237 Ph: (770) 457-1571 | 100 Percent Chiropractic Atlanta Five Llc 4490 Chamblee Dunwoody Rd, Suite D, Atlanta, GA 30338-6237 Ph: (770) 457-1571 |
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