| |
1869 E Main St Ste B, Hogansville, GA 30230-2787 | |
(706) 637-1114 | |
(706) 637-1124 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1869 E Main St Ste B, Hogansville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437806726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Chantel L Colmer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043285505 PECOS PAC ID: 0244288447 Enrollment ID: I20050104001001 |
Mailing Address | Practice Location Address |
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1869 E Main St Ste B, Hogansville, GA 30230-2787 Ph: (706) 637-1114 | 1869 E Main St Ste B, Hogansville, GA 30230-2787 Ph: (706) 637-1114 |
Dr. Chantel Colmer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1869 E Main St Ste B, Hogansville, GA 30230 Phone: 706-637-1114 Fax: 706-637-1124 |