Dr Mark Douglas Luell Sr, DC is a
Chiropractor based in Stone Mtn, Georgia. Dr Mark Douglas Luell Sr is licensed to practice in Georgia (license number 001417) and his current practice location is
1344 Rockbridge Rd, Stone Mtn, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 923-8787.
NPI number for Dr Mark Douglas Luell Sr is 1811037864 and his current mailing address is 5150 Island Dr, Stone Mtn, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811037864.
Healthcare Provider's Profile
| Full Name | Dr Mark Douglas Luell Sr |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 1344 Rockbridge Rd, Stone Mtn, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811037864
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Douglas Luell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811037864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 001417 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Douglas Luell Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Douglas Luell Sr, DC
5150 Island Dr,
Stone Mtn, GA 30087-4248
Ph: (770) 469-2210 | Dr Mark Douglas Luell Sr, DC
1344 Rockbridge Rd,
Stone Mtn, GA 30087-3138
Ph: (770) 923-8787 |
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