Ac Optimal Health | |
564 Charlie Smith Sr Hwy Saint Marys GA 31558-3000 | |
(912) 882-7880 | |
Not Available |
Full Name | Ac Optimal Health |
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Speciality | Clinic/Center |
Location | 564 Charlie Smith Sr Hwy, Saint Marys, Georgia |
Authorized Official Name and Position | Anthony Gabriel Cane (OWNER) |
Authorized Official Contact | 2299387002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ac Optimal Health Po Box 5035 Saint Marys GA 31558-5035 Ph: (912) 882-7880 | Ac Optimal Health 564 Charlie Smith Sr Hwy Saint Marys GA 31558-3000 Ph: (912) 882-7880 |
NPI Number | 1467078287 |
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Provider Enumeration Date | 06/17/2020 |
Last Update Date | 06/17/2020 |
Medicare PECOS PAC ID | 7517389166 |
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Medicare Enrollment ID | O20200829000143 |
Identifier | Type | State | Issuer |
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1467078287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Anthony Cane |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083181853 PECOS PAC ID: 8426470071 Enrollment ID: I20200829000159 |
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