Jeannie Marie Johnson, DC | |
132 Mill Run Dr, Lake Mary, FL 32746-3311 | |
(407) 716-6553 | |
Not Available |
Full Name | Jeannie Marie Johnson |
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Gender | Female |
Speciality | Chiropractor |
Location | 132 Mill Run Dr, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508170689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH9873 (Florida) | Primary |
Provider Name | Natural Wellness And Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861751844 PECOS PAC ID: 7911321690 Enrollment ID: O20200728002549 |
Mailing Address | Practice Location Address |
---|---|
Jeannie Marie Johnson, DC 132 Mill Run Dr, Lake Mary, FL 32746-3311 Ph: (407) 716-6553 | Jeannie Marie Johnson, DC 132 Mill Run Dr, Lake Mary, FL 32746-3311 Ph: (407) 716-6553 |
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