Eden Family Chiropractic Llc | |
20 Depot St Hartwell GA 30643-7208 | |
(706) 377-3336 | |
Not Available |
Full Name | Eden Family Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 20 Depot St, Hartwell, Georgia |
Authorized Official Name and Position | Danielle Wright (CHIROPRACTIC) |
Authorized Official Contact | 7063773336 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eden Family Chiropractic Llc 20 Depot St Hartwell GA 30643-7208 Ph: (706) 377-3336 | Eden Family Chiropractic Llc 20 Depot St Hartwell GA 30643-7208 Ph: (706) 377-3336 |
NPI Number | 1962115584 |
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Provider Enumeration Date | 12/28/2022 |
Last Update Date | 12/30/2022 |
Medicare PECOS PAC ID | 5597138263 |
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Medicare Enrollment ID | O20230228000192 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962115584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Danielle Wright |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730609470 PECOS PAC ID: 8224389945 Enrollment ID: I20190314001179 |
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