Just E Buddy Health Systems | |
510 Swanson Rd, Tyrone, GA 30290-6900 | |
(770) 964-5230 | |
(770) 962-8175 |
Full Name | Just E Buddy Health Systems |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 510 Swanson Rd, Tyrone, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346509635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR007386 (Georgia) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Anna Maria Moore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306026380 PECOS PAC ID: 6507856069 Enrollment ID: I20040517000121 |
Mailing Address | Practice Location Address |
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Just E Buddy Health Systems 510 Swanson Rd, Tyrone, GA 30290-6900 Ph: (770) 964-5230 | Just E Buddy Health Systems 510 Swanson Rd, Tyrone, GA 30290-6900 Ph: (770) 964-5230 |
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