Trinity Wellness Center, Llc. | |
9434 S Main St Ste 1100, Jonesboro, GA 30236-6092 | |
(770) 478-1300 | |
(770) 478-9385 |
Full Name | Trinity Wellness Center, Llc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 9434 S Main St Ste 1100, 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 |
---|---|---|---|
1518466739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR006745 (Georgia) | Primary |
207Q00000X | Family Medicine | 19354 (Georgia) | Secondary |
Provider Name | Genia C Sword Fraser |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891868949 PECOS PAC ID: 3870509409 Enrollment ID: I20060307000493 |
Provider Name | Luther Vance |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205001542 PECOS PAC ID: 8325109366 Enrollment ID: I20160809002443 |
Provider Name | Christina Tyree Gary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750951349 PECOS PAC ID: 3375915606 Enrollment ID: I20230214001194 |
Mailing Address | Practice Location Address |
---|---|
Trinity Wellness Center, Llc. 9434 S Main St Ste 1100, Jonesboro, GA 30236-6092 Ph: (770) 478-1300 | Trinity Wellness Center, Llc. 9434 S Main St Ste 1100, Jonesboro, GA 30236-6092 Ph: (770) 478-1300 |
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