Tara Chiropractic Care Center, Llc | |
809 Flint River Rd Ste 4, Jonesboro, GA 30238-4342 | |
(770) 478-6040 | |
(770) 478-6061 |
Full Name | Tara Chiropractic Care Center, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 809 Flint River Rd Ste 4, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497970024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIR006958 (Georgia) | Primary |
Provider Name | Caryn A Grzesiakowski |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205050259 PECOS PAC ID: 4981639747 Enrollment ID: I20060328000216 |
Mailing Address | Practice Location Address |
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Tara Chiropractic Care Center, Llc Po Box 1378, Fayetteville, GA 30214-6378 Ph: (770) 478-6040 | Tara Chiropractic Care Center, Llc 809 Flint River Rd Ste 4, Jonesboro, GA 30238-4342 Ph: (770) 478-6040 |
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