Dr Richard John Grostic, DC | |
39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 | |
(770) 317-7583 | |
Not Available |
Full Name | Dr Richard John Grostic |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 39 Lance St, Blue Ridge, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922533546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO07653 (Georgia) | Primary |
Provider Name | Ridge Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891220414 PECOS PAC ID: 8224303904 Enrollment ID: O20171005001577 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard John Grostic, DC 39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 Ph: (770) 317-7583 | Dr Richard John Grostic, DC 39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 Ph: (770) 317-7583 |
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