Dr Julia Grace Deseta, DC | |
5456 Bethelview Rd Ste 105, Cumming, GA 30040-8612 | |
(770) 406-8208 | |
Not Available |
Full Name | Dr Julia Grace Deseta |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 5 Years |
Location | 5456 Bethelview Rd Ste 105, Cumming, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073146429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3683 (Massachusetts) | Primary |
111N00000X | Chiropractor | CHIR010400 (Georgia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Towne Lake Family Chiropractic P.c. | 1355515222 | 3 |
Provider Name | Towne Lake Family Chiropractic P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346379435 PECOS PAC ID: 1355515222 Enrollment ID: O20111111000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Julia Grace Deseta, DC 5456 Bethelview Rd Ste 105, Cumming, GA 30040-8612 Ph: (770) 406-8208 | Dr Julia Grace Deseta, DC 5456 Bethelview Rd Ste 105, Cumming, GA 30040-8612 Ph: (770) 406-8208 |
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