Optimal Spine And Body Llc | |
288 S Main St Ste 600, Alpharetta, GA 30009-1983 | |
(770) 274-4840 | |
Not Available |
Full Name | Optimal Spine And Body Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 288 S Main St Ste 600, Alpharetta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467002501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael Tyler Weiner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780105965 PECOS PAC ID: 8224395926 Enrollment ID: I20171205003464 |
Mailing Address | Practice Location Address |
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Optimal Spine And Body Llc 288 S Main St Ste 600, Alpharetta, GA 30009-1983 Ph: (770) 274-4840 | Optimal Spine And Body Llc 288 S Main St Ste 600, Alpharetta, GA 30009-1983 Ph: (770) 274-4840 |
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