| Gage Chiropractic Clinics Llc | |
|
12186 Highway 92 Ste B111 Woodstock GA 30188-5105 | |
| (304) 677-8387 | |
| Not Available |
| Full Name | Gage Chiropractic Clinics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12186 Highway 92 Ste B111, Woodstock, Georgia |
| Authorized Official Name and Position | Steven Gage (OWNER) |
| Authorized Official Contact | 3046778387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gage Chiropractic Clinics Llc 128 Pearl St Woodstock GA 30188-5229 Ph: (304) 677-8387 | Gage Chiropractic Clinics Llc 12186 Highway 92 Ste B111 Woodstock GA 30188-5105 Ph: (304) 677-8387 |
| NPI Number | 1861113912 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 4587033949 |
|---|---|
| Medicare Enrollment ID | O20221207002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861113912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Steven Gage |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528713971 PECOS PAC ID: 4385013747 Enrollment ID: I20221207002745 |
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