Ctc | |
6600 Roswell Rd Ne, Suite A, Atlanta, GA 30328-3173 | |
(404) 531-0055 | |
(404) 531-0369 |
Full Name | Ctc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 6600 Roswell Rd Ne, 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 |
---|---|---|---|
1518041441 | NPI | - | NPPES |
5796537 | Other | GA | AETNA PPO/POS |
1003626 | Other | GA | AETNA HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR005763 (Georgia) | Primary |
Provider Name | Michael Todd Hortman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750382115 PECOS PAC ID: 7618949264 Enrollment ID: I20040812000835 |
Mailing Address | Practice Location Address |
---|---|
Ctc 6600 Roswell Rd Ne, Suite A, Atlanta, GA 30328-3173 Ph: (404) 531-0055 | Ctc 6600 Roswell Rd Ne, Suite A, Atlanta, GA 30328-3173 Ph: (404) 531-0055 |
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