| Southside Family Chiropractic Llc | |
|
1040 Sullivan Rd, Newnan, GA 30265-1723 | |
| (770) 892-2356 | |
| Not Available |
| Full Name | Southside Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1040 Sullivan Rd, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548645062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR008893 (Georgia) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Daniel Johnston |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629343538 PECOS PAC ID: 2961718499 Enrollment ID: I20150828002297 |
| Provider Name | Tatum Shepard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447526140 PECOS PAC ID: 1052627585 Enrollment ID: I20150831000883 |
| Provider Name | Niquisheila Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649795956 PECOS PAC ID: 9234498882 Enrollment ID: I20180106000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Family Chiropractic Llc 1040 Sullivan Rd, Newnan, GA 30265-1723 Ph: (770) 892-2356 | Southside Family Chiropractic Llc 1040 Sullivan Rd, Newnan, GA 30265-1723 Ph: (770) 892-2356 |
Dr. Eric Legault, B.S., D.C, C.S.C.S Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 Werz Industrial Dr., Newnan, GA 30263 Phone: 770-912-9797 | |
Dr. Robert George Debease, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 90 Glenda Trce Ste I, Newnan, GA 30265 Phone: 770-304-1500 Fax: 770-304-8148 | |
Dr. Michael Mccaffrie, CHIROPRACTOR Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 35 Jackson St, Newnan, GA 30263 Phone: 770-253-5040 | |
The Chiropractor On 34 Chiropractor Medicare: Medicare Enrolled Practice Location: 23 Franklin Rd Ste B, Newnan, GA 30263 Phone: 770-834-8165 Fax: 770-834-8165 | |
Valerie K Roman-perez, Chiropractor Medicare: Medicare Enrolled Practice Location: 1201 Lower Fayetteville Rd Ste E, Newnan, GA 30265 Phone: 770-400-8707 | |
Dr. Peter Z Ackerson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2594 Hwy 34 East, Suite A, Newnan, GA 30265 Phone: 770-502-0991 Fax: 770-253-7755 | |
Dr. John Harold Freeman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2730 Highway 34 E Ste D, Newnan, GA 30265 Phone: 770-755-6051 |