Dr Kenneth G Holewinski, DC | |
755 Simpson St, Atlanta, GA 30314 | |
(404) 525-3772 | |
(404) 525-3773 |
Full Name | Dr Kenneth G Holewinski |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 755 Simpson St, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083714869 | NPI | - | NPPES |
50012988 | Other | GA | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2306 (Georgia) | Primary |
111N00000X | Chiropractor | 1667 (Alabama) | Secondary |
Provider Name | Grant Chiropractic Of Blue Ridge, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336406487 PECOS PAC ID: 8426214081 Enrollment ID: O20120725000968 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth G Holewinski, DC 755 Simpson St, Atlanta, GA 30314 Ph: (404) 525-3772 | Dr Kenneth G Holewinski, DC 755 Simpson St, Atlanta, GA 30314 Ph: (404) 525-3772 |
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