Ridge Chiropractic | |
39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 | |
(770) 317-7583 | |
Not Available |
Full Name | Ridge Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 39 Lance St, Blue Ridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891220414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIRO07653 (Georgia) | Primary |
Provider Name | Richard Grostic |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922533546 PECOS PAC ID: 1658646344 Enrollment ID: I20171005002108 |
Mailing Address | Practice Location Address |
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Ridge Chiropractic 39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 Ph: (770) 317-7583 | Ridge Chiropractic 39 Lance St, Unit 6, Blue Ridge, GA 30513-8024 Ph: (770) 317-7583 |
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