Michael S Roura, DC | |
3565 Piedmont Rd Ne, Building 2, Suite 310, Atlanta, GA 30305-8202 | |
(404) 352-8900 | |
Not Available |
Full Name | Michael S Roura |
---|---|
Gender | Male |
Speciality | Chiropractor - Sports Physician |
Location | 3565 Piedmont Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497296024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | CHIR009866 (Georgia) | Primary |
Provider Name | Rxwellness Spine & Health - Herndon Reston Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336786821 PECOS PAC ID: 8224449103 Enrollment ID: O20201125000710 |
Mailing Address | Practice Location Address |
---|---|
Michael S Roura, DC 3565 Piedmont Rd Ne, Building 2, Suite 310, Atlanta, GA 30305-8202 Ph: (404) 352-8900 | Michael S Roura, DC 3565 Piedmont Rd Ne, Building 2, Suite 310, Atlanta, GA 30305-8202 Ph: (404) 352-8900 |
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