Wade Family Chiropractic Llc | |
140 Howell Rd Ste D, Tyrone, GA 30290-2095 | |
(770) 740-5000 | |
(770) 740-5000 |
Full Name | Wade Family Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 140 Howell Rd Ste D, Tyrone, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134807928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Mitchell-lee Wade |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477163244 PECOS PAC ID: 2365856184 Enrollment ID: I20210205000889 |
Mailing Address | Practice Location Address |
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Wade Family Chiropractic Llc 140 Howell Rd Ste D, Tyrone, GA 30290-2095 Ph: (770) 740-5000 | Wade Family Chiropractic Llc 140 Howell Rd Ste D, Tyrone, GA 30290-2095 Ph: (770) 740-5000 |
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