| Sandy Chiropractic Pc | |
|
1364 Church St, Decatur, GA 30030-1519 | |
| (404) 483-6780 | |
| Not Available |
| Full Name | Sandy Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1364 Church St, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR007671 (Georgia) | Primary |
| Provider Name | Loretta F Sandy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891834974 PECOS PAC ID: 9032175336 Enrollment ID: I20041208000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Chiropractic Pc 207 E Davis St, Decatur, GA 30030-3709 Ph: (404) 483-6780 | Sandy Chiropractic Pc 1364 Church St, Decatur, GA 30030-1519 Ph: (404) 483-6780 |
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