| |
2445 Moon Rd, Grayson, GA 30017-1658 | |
(678) 985-7286 | |
(678) 985-7287 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 2445 Moon Rd, Grayson, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164835591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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2133 Highway 317 Ste 12-318, Suwanee, GA 30024-2649 Ph: (678) 985-7286 | 2445 Moon Rd, Grayson, GA 30017-1658 Ph: (678) 985-7286 |