Conyers Family Chiropractic Center | |
2365 Wall St. Suite 120, Conyers, GA 30013-2197 | |
(770) 922-8187 | |
(770) 922-9107 |
Full Name | Conyers Family Chiropractic Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 2365 Wall St. Suite 120, 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 |
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1194100370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kenneth F Boscher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558425348 PECOS PAC ID: 5193980407 Enrollment ID: I20120711000167 |
Mailing Address | Practice Location Address |
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Conyers Family Chiropractic Center 2365 Wall St. Suite 120, Conyers, GA 30013-2197 Ph: (770) 922-8187 | Conyers Family Chiropractic Center 2365 Wall St. Suite 120, Conyers, GA 30013-2197 Ph: (770) 922-8187 |
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