Brent J Deshaw, DC | |
664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 | |
(912) 264-2244 | |
Not Available |
Full Name | Brent J Deshaw |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 16 Years |
Location | 664 Scranton Rd, Brunswick, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922264464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR008476 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bloomington-normal Chiropractic Wellness Center Llc | 2567891625 | 2 |
Provider Name | Bloomington-normal Chiropractic Wellness Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780214486 PECOS PAC ID: 2567891625 Enrollment ID: O20200411000275 |
Mailing Address | Practice Location Address |
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Brent J Deshaw, DC 664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 Ph: (912) 264-2244 | Brent J Deshaw, DC 664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 Ph: (912) 264-2244 |
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