| Decatur Spine & Joint Center, Llc | |
|
3755 Memorial Dr, Decatur, GA 30032-2459 | |
| (470) 870-9300 | |
| (404) 393-8885 |
| Full Name | Decatur Spine & Joint Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3755 Memorial Dr, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457081226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Ian David Porter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952071607 PECOS PAC ID: 6709245780 Enrollment ID: I20230710000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Spine & Joint Center, Llc Po Box 1601, Phenix City, AL 36868-1601 Ph: (334) 298-7700 | Decatur Spine & Joint Center, Llc 3755 Memorial Dr, Decatur, GA 30032-2459 Ph: (470) 870-9300 |
Performance Injury Center Llc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4294 Memorial Dr, Suite D, Decatur, GA 30032 Phone: 404-296-4888 Fax: 404-296-8811 | |
Ladarian Shawntell Gregory, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2853 Candler Rd Ste 5, Decatur, GA 30034 Phone: 678-612-7137 Fax: 404-212-7694 | |
Sherwood Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1275 Mcconnell Dr, Suite E, Decatur, GA 30033 Phone: 404-321-0082 Fax: 404-321-2007 | |
Dr. Mark Patrick, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4294 Memorial Dr, Ste D, Decatur, GA 30032 Phone: 404-296-4888 Fax: 404-296-8811 | |
Dr. Brian Timone Utley, B.S., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4296 Memorial Dr Ste B, Decatur, GA 30032 Phone: 404-516-8376 Fax: 404-292-2494 | |
Janeah Saadeh, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3802 N Druid Hills Rd, Decatur, GA 30033 Phone: 404-486-9644 Fax: 404-486-9643 | |
Julian Katherine Wetterlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 603 Church St, Decatur, GA 30030 Phone: 404-377-7743 |