| Innate Universe Llc | |
|
230 Riverstone Pkwy Ste B, Canton, GA 30114-6414 | |
| (770) 720-0099 | |
| (770) 720-0002 |
| Full Name | Innate Universe Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 230 Riverstone Pkwy Ste B, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538670195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009788 (Georgia) | Primary |
| Provider Name | Hector Ortiz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417497595 PECOS PAC ID: 8426442443 Enrollment ID: I20220308000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Universe Llc 230 Riverstone Pkwy Ste B, Canton, GA 30114-6414 Ph: (770) 720-0099 | Innate Universe Llc 230 Riverstone Pkwy Ste B, Canton, GA 30114-6414 Ph: (770) 720-0099 |
Dr. Betsy Carlo Vega, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 230 Riverstone Pkwy Ste B, Canton, GA 30114 Phone: 770-720-0099 | |
Dr. Laurie Briegel, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 7990 Knox Bridge Hwy, Canton, GA 30114 Phone: 770-479-5592 Fax: 770-479-5594 | |
Bridgemill Health Group Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3542 Sixes Rd, Suite 100, Canton, GA 30114 Phone: 678-880-6118 Fax: 770-720-1389 | |
Etowah Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2905 Marietta Hwy, Canton, GA 30114 Phone: 770-479-4918 Fax: 770-479-4918 | |
Dr. Madeleine Yadiris Acosta, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5979 Cumming Hwy, Canton, GA 30115 Phone: 770-479-5592 | |
Dr. David Keith Pruitt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11943 Cumming Hwy, Canton, GA 30115 Phone: 770-887-7618 Fax: 770-887-5961 | |
Dr. Ashley Dawn Harper, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2800 Holly Springs Pkwy Ste 110, Canton, GA 30115 Phone: 404-594-4736 |