Luis Enrique Pierantoni Muniz, DC | |
6346 Tara Blvd, Jonesboro, GA 30236-1224 | |
(404) 800-3000 | |
Not Available |
Full Name | Luis Enrique Pierantoni Muniz |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 6346 Tara Blvd, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497461354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO10933 (Georgia) | Primary |
Provider Name | Aspinwall Chiropractic Clinic, L.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982789665 PECOS PAC ID: 8729074836 Enrollment ID: O20040423000451 |
Mailing Address | Practice Location Address |
---|---|
Luis Enrique Pierantoni Muniz, DC 4350 Sugarloaf Pkwy Ste 902, Lawrenceville, GA 30044-6976 Ph: (404) 800-3000 | Luis Enrique Pierantoni Muniz, DC 6346 Tara Blvd, Jonesboro, GA 30236-1224 Ph: (404) 800-3000 |
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