| The Good Doctor, Llc | |
|
5370 Stone Mountain Hwy, Stone Mountain, GA 30087-3581 | |
| (770) 413-7771 | |
| (770) 413-7779 |
| Full Name | The Good Doctor, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5370 Stone Mountain Hwy, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407002058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIROO7597 (Georgia) | Primary |
| Provider Name | Marina L Harris |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952514945 PECOS PAC ID: 8325107261 Enrollment ID: I20081106000252 |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Doctor, Llc Po Box 870903, Stone Mountain, GA 30087-0023 Ph: (770) 413-7771 | The Good Doctor, Llc 5370 Stone Mountain Hwy, Stone Mountain, GA 30087-3581 Ph: (770) 413-7771 |
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