Crouch Chiropractic Clinic | |
413 Greenville St, Lagrange, GA 30241-3360 | |
(706) 812-2225 | |
(706) 812-8966 |
Full Name | Crouch Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 413 Greenville St, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750510517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5885 (Georgia) | Primary |
Provider Name | Eric A Crouch |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598850315 PECOS PAC ID: 9739075532 Enrollment ID: I20040227000209 |
Mailing Address | Practice Location Address |
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Crouch Chiropractic Clinic 413 Greenville St, Lagrange, GA 30241-3360 Ph: (706) 812-2225 | Crouch Chiropractic Clinic 413 Greenville St, Lagrange, GA 30241-3360 Ph: (706) 812-2225 |
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