Dr Hayden Mccarthy Richardson, DV | |
4319 Covington Hwy Ste 201, Decatur, GA 30035-1206 | |
(678) 505-0000 | |
Not Available |
Full Name | Dr Hayden Mccarthy Richardson |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4319 Covington Hwy Ste 201, 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 |
---|---|---|---|
1386239572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010476 (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 Hayden Mccarthy Richardson, DV 4319 Covington Hwy Ste 201, Decatur, GA 30035-1206 Ph: (678) 505-0000 | Dr Hayden Mccarthy Richardson, DV 4319 Covington Hwy Ste 201, Decatur, GA 30035-1206 Ph: (678) 505-0000 |
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