Georgia Neck And Back is a
Family Medicine based in Lawrenceville, Georgia. Georgia Neck And Back is licensed to practice in Georgia (license number 016356) and their current practice location is
960 Herrington Rd, Suite B, Lawrenceville, Georgia. It can be reached at their office (for appointments etc.) via phone at
(770) 963-5585.
NPI number for Georgia Neck And Back is 1780880302 and their current mailing address is 960 Herrington Rd, Suite B, Lawrenceville, Georgia. Georgia Neck And Back
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1780880302.
Healthcare Provider's Profile
| Full Name | Georgia Neck And Back |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 960 Herrington Rd, Lawrenceville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780880302
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Georgia Neck And Back such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780880302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | CHIR006452 (Georgia) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | CHIR008031 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 016356 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Georgia Neck And Back is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Georgia Neck And Back
960 Herrington Rd, Suite B,
Lawrenceville, GA 30044-7212
Ph: (770) 963-5585 | Georgia Neck And Back
960 Herrington Rd, Suite B,
Lawrenceville, GA 30044-7212
Ph: (770) 963-5585 |
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