Michelle Klein, DC | |
310 Broad St, Lagrange, GA 30240-2639 | |
(706) 882-2580 | |
Not Available |
Full Name | Michelle Klein |
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Gender | Female |
Speciality | Chiropractor |
Location | 310 Broad St, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992498075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO010768 (Georgia) | Primary |
Provider Name | The Local Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184219867 PECOS PAC ID: 0042619116 Enrollment ID: O20210521000226 |
Mailing Address | Practice Location Address |
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Michelle Klein, DC 310 Broad St, Lagrange, GA 30240-2639 Ph: (706) 882-2580 | Michelle Klein, DC 310 Broad St, Lagrange, GA 30240-2639 Ph: (706) 882-2580 |
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