| The Whole Life Health & Chiropractic Center | |
|
1980 Riverside Pkwy Ste 101 Lawrenceville GA 30043-5943 | |
| (678) 407-8230 | |
| Not Available |
| Full Name | The Whole Life Health & Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1980 Riverside Pkwy Ste 101, Lawrenceville, Georgia |
| Authorized Official Name and Position | Raymond Alexander (PRESIDENT) |
| Authorized Official Contact | 6784078230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Whole Life Health & Chiropractic Center 1980 Riverside Pkwy Ste 101 Lawrenceville GA 30043-5943 Ph: (678) 407-8230 | The Whole Life Health & Chiropractic Center 1980 Riverside Pkwy Ste 101 Lawrenceville GA 30043-5943 Ph: (678) 407-8230 |
| NPI Number | 1487887055 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Medicare PECOS PAC ID | 4183761182 |
|---|---|
| Medicare Enrollment ID | O20091023000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487887055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 2925 (Georgia) | Primary |
| Provider Name | Raymond T Alexander |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023030392 PECOS PAC ID: 3375680374 Enrollment ID: I20091023000376 |
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