Dr Sulis Marie Matos Reyes, DC | |
2013 Powers Ferry Rd Se Apt A, Marietta, GA 30067-5229 | |
(787) 459-7357 | |
Not Available |
Full Name | Dr Sulis Marie Matos Reyes |
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Gender | Female |
Speciality | Chiropractor |
Location | 2013 Powers Ferry Rd Se Apt A, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649857228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010430 (Georgia) | Primary |
Provider Name | Zenith Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972010668 PECOS PAC ID: 2769713643 Enrollment ID: O20191007003095 |
Mailing Address | Practice Location Address |
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Dr Sulis Marie Matos Reyes, DC 2013 Powers Ferry Rd Se Apt A, Marietta, GA 30067-5229 Ph: (787) 459-7357 | Dr Sulis Marie Matos Reyes, DC 2013 Powers Ferry Rd Se Apt A, Marietta, GA 30067-5229 Ph: (787) 459-7357 |
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