Conyers Chiropractic & Massage P.c. | |
2239 Georgia Highway 20 Se, Suite D, Conyers, GA 30013-2091 | |
(770) 922-8150 | |
(770) 922-8151 |
Full Name | Conyers Chiropractic & Massage P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 2239 Georgia Highway 20 Se, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427395755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIR007480 (Georgia) | Primary |
Provider Name | Jason R Gardner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790756500 PECOS PAC ID: 6507850823 Enrollment ID: I20040412000131 |
Mailing Address | Practice Location Address |
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Conyers Chiropractic & Massage P.c. 2239 Georgia Highway 20 Se, Suite D, Conyers, GA 30013-2091 Ph: (770) 922-8150 | Conyers Chiropractic & Massage P.c. 2239 Georgia Highway 20 Se, Suite D, Conyers, GA 30013-2091 Ph: (770) 922-8150 |
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