100 Percent Chiropractic Ortiz Valle Llc | |
1585 Church St Ste 665, Decatur, GA 30033-6059 | |
(404) 913-6734 | |
Not Available |
Full Name | 100 Percent Chiropractic Ortiz Valle Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1585 Church St Ste 665, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457819484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Allison M Jancik |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497254213 PECOS PAC ID: 5193189199 Enrollment ID: I20230908002760 |
Mailing Address | Practice Location Address |
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100 Percent Chiropractic Ortiz Valle Llc 1585 Church St Ste 665, Decatur, GA 30033-6059 Ph: (404) 913-6734 | 100 Percent Chiropractic Ortiz Valle Llc 1585 Church St Ste 665, Decatur, GA 30033-6059 Ph: (404) 913-6734 |
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