Atlanta Spine And Wellness Llc | |
5070 Peachtree Blvd Ste E170, Chamblee, GA 30341-3010 | |
(770) 392-9299 | |
(770) 727-8136 |
Full Name | Atlanta Spine And Wellness Llc |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 5070 Peachtree Blvd Ste E170, Chamblee, 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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1720476609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | CHIR008879 (Georgia) | Primary |
Provider Name | Christopher Brian Heitman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790060184 PECOS PAC ID: 4587825435 Enrollment ID: I20130808000188 |
Provider Name | Jessica Marie Oudekerk |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235615386 PECOS PAC ID: 5698160646 Enrollment ID: I20220310000444 |
Mailing Address | Practice Location Address |
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Atlanta Spine And Wellness Llc 5070 Peachtree Blvd Ste E170, Chamblee, GA 30341-3010 Ph: (770) 392-9299 | Atlanta Spine And Wellness Llc 5070 Peachtree Blvd Ste E170, Chamblee, GA 30341-3010 Ph: (770) 392-9299 |
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