| Healing Hand Clinic Inc | |
|
680 Douthit Ferry Rd Suite 103 Cartersville GA 30120-4150 | |
| (770) 387-3161 | |
| (770) 387-3162 |
| Full Name | Healing Hand Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 680 Douthit Ferry Rd, Cartersville, Georgia |
| Authorized Official Name and Position | Ladenna L Russell (PRESIDENT) |
| Authorized Official Contact | 7703873161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hand Clinic Inc 680 Douthit Ferry Rd Suite 103 Cartersville GA 30120-4150 Ph: (770) 387-3161 | Healing Hand Clinic Inc 680 Douthit Ferry Rd Suite 103 Cartersville GA 30120-4150 Ph: (770) 387-3161 |
| NPI Number | 1457725079 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 02/15/2016 |
| Medicare PECOS PAC ID | 4284939984 |
|---|---|
| Medicare Enrollment ID | O20160217001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457725079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIR006261 (Georgia) | Primary |
| Provider Name | Ladenna Russell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790843472 PECOS PAC ID: 3971505280 Enrollment ID: I20070215000029 |
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