Locust Grove Clinic, P.c. | |
2648 Highway 42, Locust Grove, GA 30248-2519 | |
(770) 898-0028 | |
(770) 898-7987 |
Full Name | Locust Grove Clinic, P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 2648 Highway 42, Locust Grove, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699964171 | NPI | - | NPPES |
GRP4337 | Other | GA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIROO6323 (Georgia) | Primary |
Provider Name | Elizabeth Catherine Tully |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568568491 PECOS PAC ID: 5698935591 Enrollment ID: I20120330000357 |
Provider Name | Peter James Tully |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770659161 PECOS PAC ID: 7810086543 Enrollment ID: I20120409000139 |
Mailing Address | Practice Location Address |
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Locust Grove Clinic, P.c. 2648 Highway 42, Locust Grove, GA 30248-2519 Ph: (770) 898-0028 | Locust Grove Clinic, P.c. 2648 Highway 42, Locust Grove, GA 30248-2519 Ph: (770) 898-0028 |
Dr. Elizabeth Catherine Tully, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 835 Jackson St, Locust Grove, GA 30248 Phone: 770-898-0028 Fax: 770-898-7987 | |
Dr. Bethany Hankinson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501a Stanley K Tanger Blvd, Locust Grove, GA 30248 Phone: 248-520-7273 | |
Dr. Peter James Tully, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 835 Jackson St, Locust Grove, GA 30248 Phone: 770-898-0028 Fax: 770-898-7987 | |
My Journey Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 4946 Bill Gardner Parkway, Locust Grove, GA 30248 Phone: 706-400-6750 |