Advanced Pain & Spine Center | |
246 Creekstone Rdg, Woodstock, GA 30188-3732 | |
(678) 494-9960 | |
Not Available |
Full Name | Advanced Pain & Spine Center |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 246 Creekstone Rdg, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891983631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | CHIR006757 (Georgia) | Primary |
Provider Name | David Paul Sikanowicz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740359454 PECOS PAC ID: 2668409434 Enrollment ID: I20150925000400 |
Mailing Address | Practice Location Address |
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Advanced Pain & Spine Center 246 Creekstone Ridge, Woodstock, GA 30188 Ph: (678) 494-9960 | Advanced Pain & Spine Center 246 Creekstone Rdg, Woodstock, GA 30188-3732 Ph: (678) 494-9960 |
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