| Pham Chiropractic Services, Pc | |
|
110 Evans Mill Dr Ste 302, Dallas, GA 30157-1623 | |
| (678) 363-3334 | |
| (678) 363-3441 |
| Full Name | Pham Chiropractic Services, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 110 Evans Mill Dr Ste 302, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518149020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 006474 (Georgia) | Primary |
| Provider Name | Edward D Pham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437167418 PECOS PAC ID: 1355384637 Enrollment ID: I20101103000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Pham Chiropractic Services, Pc 110 Evans Mill Dr Ste 302, Dallas, GA 30157-1623 Ph: (678) 363-3334 | Pham Chiropractic Services, Pc 110 Evans Mill Dr Ste 302, Dallas, GA 30157-1623 Ph: (678) 363-3334 |
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