Dr Lorenil Hencock Boncek, DC | |
5520 Lilburn Stone Mountain Rd Ste E1, Stone Mountain, GA 30087-2876 | |
(470) 870-8680 | |
Not Available |
Full Name | Dr Lorenil Hencock Boncek |
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Gender | Female |
Speciality | Chiropractor |
Location | 5520 Lilburn Stone Mountain Rd Ste E1, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295343838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010040 (Georgia) | Primary |
Provider Name | Hencock Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578273140 PECOS PAC ID: 9931546017 Enrollment ID: O20240325002938 |
Mailing Address | Practice Location Address |
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Dr Lorenil Hencock Boncek, DC 4542 Warrior Trl Sw, Lilburn, GA 30047-4152 Ph: () - | Dr Lorenil Hencock Boncek, DC 5520 Lilburn Stone Mountain Rd Ste E1, Stone Mountain, GA 30087-2876 Ph: (470) 870-8680 |
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