| |
63 Maxwell Ave, Saint Simons Is, GA 31522-1825 | |
(678) 524-4829 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 63 Maxwell Ave, Saint Simons Is, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1083993042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIRO008832 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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2900 Delk Rd Se Ste 700, Marietta, GA 30067-5350 Ph: (678) 524-4829 | 63 Maxwell Ave, Saint Simons Is, GA 31522-1825 Ph: (678) 524-4829 |