Nicholas J Sudano, DC | |
4401 Shallowford Rd Ste 142, Roswell, GA 30075-3175 | |
(770) 552-7009 | |
(770) 587-9877 |
Full Name | Nicholas J Sudano |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4401 Shallowford Rd Ste 142, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265546782 | NPI | - | NPPES |
0027833 | Other | GA | PIN # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR004781 (Georgia) | Primary |
Provider Name | Njs Enterprises, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154550432 PECOS PAC ID: 7719343433 Enrollment ID: O20230522002241 |
Mailing Address | Practice Location Address |
---|---|
Nicholas J Sudano, DC 4401 Shallowford Rd Ste 142, Roswell, GA 30075-3175 Ph: (770) 552-7009 | Nicholas J Sudano, DC 4401 Shallowford Rd Ste 142, Roswell, GA 30075-3175 Ph: (770) 552-7009 |
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