| Georgia Ketamine Renew | |
|
1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 | |
| (678) 769-7008 | |
| Not Available |
| Full Name | Georgia Ketamine Renew |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 1370 Thompson Bridge Rd Ste 101, Gainesville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255951182 | NPI | - | NPPES |
| 34210 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Ketamine Renew 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 Ph: (678) 769-7008 | Georgia Ketamine Renew 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 Ph: (678) 769-7008 |
Mrs. Tamara Clarke, L.AC., DIPL OM Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 615 Green St Nw Ste 201, Gainesville, GA 30501 Phone: 678-622-0001 |
Sheridan H Spencer, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501 Phone: 855-438-5382 |
Dr. Clark C Casteel, L. AC., D.O.M. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 604 Washington St Nw Ste A4, Gainesville, GA 30501 Phone: 770-297-0711 |