Amadis Acevedo, DC | |
295 Molly Ln, Woodstock, GA 30189-3760 | |
(770) 926-4646 | |
(888) 342-7278 |
Full Name | Amadis Acevedo |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 295 Molly Ln, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679036222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010170 (Georgia) | Primary |
Provider Name | Health Chiropractic San Juan Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174250765 PECOS PAC ID: 9436535200 Enrollment ID: O20220930002200 |
Mailing Address | Practice Location Address |
---|---|
Amadis Acevedo, DC 295 Molly Ln, Woodstock, GA 30189-3760 Ph: (770) 926-4646 | Amadis Acevedo, DC 295 Molly Ln, Woodstock, GA 30189-3760 Ph: (770) 926-4646 |
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