| Fulton Family Chiropractic | |
|
7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2598 | |
| (301) 490-8550 | |
| (301) 490-8581 |
| Full Name | Fulton Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7625 Maple Lawn Blvd, Fulton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538350855 | NPI | - | NPPES |
| W3530001 | Other | CAREFIRST BCBS | |
| M123JL | Other | CAREFIRST BCBS OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | SO1592 (Maryland) | Primary |
| Provider Name | Jerry L Radas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396837753 PECOS PAC ID: 2163601717 Enrollment ID: I20110127001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Chiropractic 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2598 Ph: (301) 490-8550 | Fulton Family Chiropractic 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2598 Ph: (301) 490-8550 |
Spine Connection Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 240-832-7993 | |
Minho Kim, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
John Yongmin Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
Jerry Lee Radas, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759 Phone: 301-490-8550 Fax: 301-490-8581 | |
Dr. Sae June Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 Fax: 301-498-5027 |