Stephanie Michelle Vega, DC | |
3081 Holcomb Bridge Rd, Ste J1, Norcross, GA 30071-1396 | |
(704) 902-3801 | |
Not Available |
Full Name | Stephanie Michelle Vega |
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Gender | Female |
Speciality | Chiropractor |
Location | 3081 Holcomb Bridge Rd, Norcross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780187476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO10029 (Georgia) | Primary |
Provider Name | Vega Injury And Spine Center, L.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689334286 PECOS PAC ID: 1355734112 Enrollment ID: O20220131002450 |
Mailing Address | Practice Location Address |
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Stephanie Michelle Vega, DC 3081 Holcomb Bridge Rd, Ste J1, Norcross, GA 30071-1396 Ph: () - | Stephanie Michelle Vega, DC 3081 Holcomb Bridge Rd, Ste J1, Norcross, GA 30071-1396 Ph: (704) 902-3801 |
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