Dr Porshe Tiara Minor, DC | |
1050 Shiloh Rd Nw Ste 303, Kennesaw, GA 30144-7197 | |
(770) 370-7588 | |
Not Available |
Full Name | Dr Porshe Tiara Minor |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1050 Shiloh Rd Nw Ste 303, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700532884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO010689 (Georgia) | Primary |
Provider Name | Minor Chiropractic Works Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962125161 PECOS PAC ID: 1355718800 Enrollment ID: O20221114000481 |
Mailing Address | Practice Location Address |
---|---|
Dr Porshe Tiara Minor, DC 2020 Powers Ferry Rd Se Unit 1566, Atlanta, GA 30339-5158 Ph: (901) 603-2623 | Dr Porshe Tiara Minor, DC 1050 Shiloh Rd Nw Ste 303, Kennesaw, GA 30144-7197 Ph: (770) 370-7588 |
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