Chiropractic First Of Swva Abingdon | |
121 Russell Rd Nw Ste 1 Abingdon VA 24210-2758 | |
(276) 525-1777 | |
Not Available |
Full Name | Chiropractic First Of Swva Abingdon |
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Speciality | Clinic/Center |
Location | 121 Russell Rd Nw Ste 1, Abingdon, Virginia |
Authorized Official Name and Position | Randy Bernard Maxwell (CFO/CO-OWNER) |
Authorized Official Contact | 3042544622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chiropractic First Of Swva Abingdon 121 Russell Rd Nw Ste 1 Abingdon VA 24210-2758 Ph: (276) 525-1777 | Chiropractic First Of Swva Abingdon 121 Russell Rd Nw Ste 1 Abingdon VA 24210-2758 Ph: (276) 525-1777 |
NPI Number | 1306208731 |
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Provider Enumeration Date | 03/24/2016 |
Last Update Date | 12/30/2016 |
Medicare PECOS PAC ID | 1557646924 |
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Medicare Enrollment ID | O20170327001719 |
Identifier | Type | State | Issuer |
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1306208731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 0104556437 (Virginia) | Primary |
Provider Name | Christopher Robert Brown |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336144690 PECOS PAC ID: 5193984235 Enrollment ID: I20120309000399 |
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