| Amadis Acevedo, DC | |
|
295 Molly Ln, Woodstock, GA 30189-3760 | |
| (770) 926-4646 | |
| (888) 342-7278 |
| Full Name | Amadis Acevedo |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 295 Molly Ln, Woodstock, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679036222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR010170 (Georgia) | Primary |
| Provider Name | Health Chiropractic San Juan Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174250765 PECOS PAC ID: 9436535200 Enrollment ID: O20220930002200 |
| Mailing Address | Practice Location Address |
|---|---|
| Amadis Acevedo, DC 295 Molly Ln, Woodstock, GA 30189-3760 Ph: (770) 926-4646 | Amadis Acevedo, DC 295 Molly Ln, Woodstock, GA 30189-3760 Ph: (770) 926-4646 |
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