Dr Bennett David Bayless, DC | |
515 Peachtree Pkwy Ste 602, Cumming, GA 30041-4806 | |
(678) 456-8859 | |
Not Available |
Full Name | Dr Bennett David Bayless |
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Gender | Male |
Speciality | Chiropractor |
Location | 515 Peachtree Pkwy Ste 602, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093400426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010763 (Georgia) | Primary |
Provider Name | Life Clinic Of Ga Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922752807 PECOS PAC ID: 5395122675 Enrollment ID: O20220509000649 |
Mailing Address | Practice Location Address |
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Dr Bennett David Bayless, DC 1314 Calderwood Ct Se, Smyrna, GA 30080-3950 Ph: (615) 715-7983 | Dr Bennett David Bayless, DC 515 Peachtree Pkwy Ste 602, Cumming, GA 30041-4806 Ph: (678) 456-8859 |
100 Chiro Rowland, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 515 Peachtree Pkwy, Cumming, GA 30041 Phone: 404-780-9448 | |
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Dr. Kurt B. Tompkins, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1485 Peachtree Pkwy, Suite D-7, Cumming, GA 30041 Phone: 770-888-9027 Fax: 770-888-9028 | |
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