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1106 3rd Ave, West Point, GA 31833-1218 | |
(706) 645-1033 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1106 3rd Ave, West Point, 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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1467754085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIR008086 (Georgia) | Primary |
Provider Name | Brenton C Jones |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447409610 PECOS PAC ID: 9335322031 Enrollment ID: I20110317000420 |
Mailing Address | Practice Location Address |
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Po Box 142, Lagrange, GA 30241-0003 Ph: () - | 1106 3rd Ave, West Point, GA 31833-1218 Ph: (706) 645-1033 |