Dr Richard C Rosenkoetter, DC | |
5064 Roswell Rd Ne, Suite C-201, Atlanta, GA 30342-2281 | |
(404) 233-2440 | |
(404) 233-2441 |
Full Name | Dr Richard C Rosenkoetter |
---|---|
Gender | Male |
Speciality | Chiropractor - Sports Physician |
Location | 5064 Roswell Rd Ne, 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 |
---|---|---|---|
1922006774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | CHIR001650 (Georgia) | Primary |
Provider Name | Chiropractic And Sports Injury Of Atlanta Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083012793 PECOS PAC ID: 0840510418 Enrollment ID: O20150521001557 |
Mailing Address | Practice Location Address |
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Dr Richard C Rosenkoetter, DC 5064 Roswell Rd Ne, Suite C-201, Atlanta, GA 30342-2281 Ph: (404) 233-2440 | Dr Richard C Rosenkoetter, DC 5064 Roswell Rd Ne, Suite C-201, Atlanta, GA 30342-2281 Ph: (404) 233-2440 |
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