Jamie Lessard, DC | |
1000 Woodstock Pkwy Ste 160, Woodstock, GA 30188-4856 | |
(678) 388-7788 | |
Not Available |
Full Name | Jamie Lessard |
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Gender | Male |
Speciality | Chiropractor |
Location | 1000 Woodstock Pkwy Ste 160, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891464426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO10418 (Georgia) | Primary |
Provider Name | Yankee Chiro Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386410611 PECOS PAC ID: 6406209881 Enrollment ID: O20240201002344 |
Mailing Address | Practice Location Address |
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Jamie Lessard, DC 1000 Woodstock Pkwy Ste 160, Woodstock, GA 30188-4856 Ph: (678) 388-7788 | Jamie Lessard, DC 1000 Woodstock Pkwy Ste 160, Woodstock, GA 30188-4856 Ph: (678) 388-7788 |
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