Dynamic Spine And Sports Therapy | |
3400 Blue Springs Rd Nw, Suite 100, Kennesaw, GA 30144-1079 | |
(678) 674-5430 | |
Not Available |
Full Name | Dynamic Spine And Sports Therapy |
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Type | Facility |
Speciality | Chiropractor |
Location | 3400 Blue Springs Rd Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659629723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 055355792 (Georgia) | Primary |
Provider Name | Jered M Hull |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841439304 PECOS PAC ID: 8325298300 Enrollment ID: I20121029000515 |
Provider Name | Bailee Caroline Mims |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881384527 PECOS PAC ID: 1759736424 Enrollment ID: I20231016002472 |
Mailing Address | Practice Location Address |
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Dynamic Spine And Sports Therapy 3400 Blue Springs Rd Nw, Suite 100, Kennesaw, GA 30144-1079 Ph: (678) 674-5430 | Dynamic Spine And Sports Therapy 3400 Blue Springs Rd Nw, Suite 100, Kennesaw, GA 30144-1079 Ph: (678) 674-5430 |
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