Daisia Glenn, DC | |
2950 Robinson Forest Rd, Powder Springs, GA 30127-7020 | |
(678) 435-7149 | |
Not Available |
Full Name | Daisia Glenn |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 2950 Robinson Forest Rd, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235984295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR011021 (Georgia) | Primary |
Provider Name | Good Spines Only Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396565818 PECOS PAC ID: 5799211033 Enrollment ID: O20241210000765 |
Mailing Address | Practice Location Address |
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Daisia Glenn, DC 2950 Robinson Forest Rd, Powder Springs, GA 30127-7020 Ph: (678) 435-7149 | Daisia Glenn, DC 2950 Robinson Forest Rd, Powder Springs, GA 30127-7020 Ph: (678) 435-7149 |
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