Esther Widjaja, | |
6050 Peachtree Pkwy Ste 420, Peachtree Corners, GA 30092-3362 | |
(770) 744-5810 | |
Not Available |
Full Name | Esther Widjaja |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 6050 Peachtree Pkwy Ste 420, Peachtree Corners, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124511902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010066 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Esther Widjaja, 6050 Peachtree Pkwy Ste 420, Peachtree Corners, GA 30092-3362 Ph: () - | Esther Widjaja, 6050 Peachtree Pkwy Ste 420, Peachtree Corners, GA 30092-3362 Ph: (770) 744-5810 |
Dr. Ryan Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6050 Peachtree Pkwy, Suite 420, Peachtree Corners, GA 30092 Phone: 770-744-5810 | |
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