| Legacy Chiropractic, Inc. | |
|
4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | |
| (770) 376-5784 | |
| (770) 376-5789 |
| Full Name | Legacy Chiropractic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4073 Lavista Rd Ste 371, Tucker, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881169456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jessica Harris |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518432277 PECOS PAC ID: 1456789254 Enrollment ID: I20200309002586 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Chiropractic, Inc. 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 Ph: (770) 376-5784 | Legacy Chiropractic, Inc. 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 Ph: (770) 376-5784 |
Legacy Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4073 Lavista Rd Ste 371, Tucker, GA 30084 Phone: 770-376-5784 Fax: 770-376-5789 | |
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Dr. Joel Edward Margolies, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4910 Lavista Rd, Tucker, GA 30084 Phone: 770-491-3639 Fax: 770-491-3799 |