Jared M Croskey, DC | |
308 Canton Rd Ste B, Cumming, GA 30040-2215 | |
(706) 994-4618 | |
Not Available |
Full Name | Jared M Croskey |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 308 Canton Rd Ste B, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174288450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010648 (Georgia) | Primary |
Provider Name | Alliance Sports Medicine Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841825122 PECOS PAC ID: 4981025269 Enrollment ID: O20200522002327 |
Mailing Address | Practice Location Address |
---|---|
Jared M Croskey, DC 1142 Old Roswell Rd, Roswell, GA 30076-1629 Ph: (706) 994-4618 | Jared M Croskey, DC 308 Canton Rd Ste B, Cumming, GA 30040-2215 Ph: (706) 994-4618 |
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