| Brodwyn Spine Center Llc | |
|
8132 Veterans Pkwy, Columbus, GA 31909-1801 | |
| (770) 710-0327 | |
| (770) 695-0348 |
| Full Name | Brodwyn Spine Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8132 Veterans Pkwy, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023860129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael Haniotis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275829657 PECOS PAC ID: 7810283116 Enrollment ID: I20160913002256 |
| Mailing Address | Practice Location Address |
|---|---|
| Brodwyn Spine Center Llc 8132 Veterans Pkwy, Columbus, GA 31909-1801 Ph: (770) 710-0327 | Brodwyn Spine Center Llc 8132 Veterans Pkwy, Columbus, GA 31909-1801 Ph: (770) 710-0327 |
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