| Iris City Chiropractic Center | |
|
210 Rock St Griffin GA 30224-4235 | |
| (770) 412-0005 | |
| (770) 467-9550 |
| Full Name | Iris City Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 Rock St, Griffin, Georgia |
| Authorized Official Name and Position | Robert Alan Hayden (OWNER) |
| Authorized Official Contact | 7704120005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris City Chiropractic Center 210 Rock St Griffin GA 30224-4235 Ph: (770) 412-0005 | Iris City Chiropractic Center 210 Rock St Griffin GA 30224-4235 Ph: (770) 412-0005 |
| NPI Number | 1831779602 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Medicare PECOS PAC ID | 9830598069 |
|---|---|
| Medicare Enrollment ID | O20210520001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831779602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robert A Hayden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326135765 PECOS PAC ID: 1052710787 Enrollment ID: I20210528000667 |
| Provider Name | Skylar Elizabeth Lowe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194419010 PECOS PAC ID: 6901268929 Enrollment ID: I20230808002372 |
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