Dr Brian Peter Dewilde, DC | |
4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | |
(470) 231-5272 | |
Not Available |
Full Name | Dr Brian Peter Dewilde |
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Gender | Male |
Speciality | Chiropractor |
Location | 4294 Memorial Dr Ste D, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508532599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9077 (Arizona) | Secondary |
111N00000X | Chiropractor | CHIR010554 (Georgia) | Primary |
Provider Name | Chiro One Wellness Center Of Scottsdale North Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043900350 PECOS PAC ID: 6002273786 Enrollment ID: O20230612002238 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Peter Dewilde, DC 2479 Cedar Canyon Rd Se, Marietta, GA 30067-6696 Ph: (616) 485-2354 | Dr Brian Peter Dewilde, DC 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 Ph: (470) 231-5272 |
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 |