| Chiropractic And Sports Injury Of Atlanta, Llc | |
|
5064 Roswell Rd, Suite C-201, Atlanta, GA 30342-2281 | |
| (404) 233-2440 | |
| (404) 233-2441 |
| Full Name | Chiropractic And Sports Injury Of Atlanta, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 5064 Roswell Rd, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083012793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 1650 (Georgia) | Primary |
| Provider Name | Richard C Rosenkoetter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922006774 PECOS PAC ID: 1254504095 Enrollment ID: I20111024000300 |
| Provider Name | Robert Bradley Crumley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427545185 PECOS PAC ID: 2365789468 Enrollment ID: I20190128002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic And Sports Injury Of Atlanta, Llc 5064 Roswell Rd, Suite C-201, Atlanta, GA 30342-2281 Ph: (404) 233-2440 | Chiropractic And Sports Injury Of Atlanta, Llc 5064 Roswell Rd, Suite C-201, Atlanta, GA 30342-2281 Ph: (404) 233-2440 |
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