| Stevens Family Chiropractic, Pc | |
|
1105 Parkside Ln Ste 1322, Woodstock, GA 30189-5380 | |
| (678) 831-8419 | |
| Not Available |
| Full Name | Stevens Family Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1105 Parkside Ln Ste 1322, Woodstock, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629602784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Bruce Dwight Stevens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669503421 PECOS PAC ID: 4587799192 Enrollment ID: I20200408004532 |
| Provider Name | John Stevens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245451780 PECOS PAC ID: 4789610031 Enrollment ID: I20230428000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Stevens Family Chiropractic, Pc 313 Quiet Hill Ln, Woodstock, GA 30189-5535 Ph: (805) 588-1176 | Stevens Family Chiropractic, Pc 1105 Parkside Ln Ste 1322, Woodstock, GA 30189-5380 Ph: (678) 831-8419 |
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