Soammy Liz Matias, DC | |
255 Norcross St Ste B, Roswell, GA 30075-3865 | |
(470) 800-4041 | |
Not Available |
Full Name | Soammy Liz Matias |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 255 Norcross St Ste B, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578068359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010030 (Georgia) | Primary |
Provider Name | Watkins Total Healthcare Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346514650 PECOS PAC ID: 6709041643 Enrollment ID: O20120627000689 |
Mailing Address | Practice Location Address |
---|---|
Soammy Liz Matias, DC 255 Norcross St Ste B, Roswell, GA 30075-3865 Ph: (470) 800-4041 | Soammy Liz Matias, DC 255 Norcross St Ste B, Roswell, GA 30075-3865 Ph: (470) 800-4041 |
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