| 122 Chiropractic Corp. | |
|
13850 Booker T Washington Hwy, Moneta, VA 24121-6205 | |
| (941) 713-1392 | |
| Not Available |
| Full Name | 122 Chiropractic Corp. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13850 Booker T Washington Hwy, Moneta, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831790351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Samantha Leigh Jordan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407311533 PECOS PAC ID: 4385987585 Enrollment ID: I20201117001375 |
| Provider Name | Robert C Gump |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871269209 PECOS PAC ID: 4789082041 Enrollment ID: I20211018002030 |
| Mailing Address | Practice Location Address |
|---|---|
| 122 Chiropractic Corp. 13850 Booker T Washington Hwy, Moneta, VA 24121-6205 Ph: (941) 713-1392 | 122 Chiropractic Corp. 13850 Booker T Washington Hwy, Moneta, VA 24121-6205 Ph: (941) 713-1392 |
Dr. Samantha Gump, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13850 Booker T Washington Hwy, Moneta, VA 24121 Phone: 941-713-1392 | |
Chirocare, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16483 Moneta Rd Ste I, Moneta, VA 24121 Phone: 540-297-3440 | |
Dr. James Andrew Schaible, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15388 Moneta Rd, Moneta, VA 24121 Phone: 540-297-1085 Fax: 540-297-1893 | |
Dr. Bradford Thomas Herlehy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 70 Scruggs Rd, Moneta, VA 24121 Phone: 540-721-0044 Fax: 540-721-0042 | |
Robert Gump Iv, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13850 Booker T Washington Hwy, Moneta, VA 24121 Phone: 540-719-0821 Fax: 540-719-0978 |