| Can Am Pc | |
|
401 S Main St Ste A5, Alpharetta, GA 30009-1957 | |
| (678) 404-8944 | |
| Not Available |
| Full Name | Can Am Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 401 S Main St Ste A5, Alpharetta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780141002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Andrew Wiese |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396183828 PECOS PAC ID: 0042552564 Enrollment ID: I20190503000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Can Am Pc 401 S Main St Ste A5, Alpharetta, GA 30009-1957 Ph: (678) 404-8944 | Can Am Pc 401 S Main St Ste A5, Alpharetta, GA 30009-1957 Ph: (678) 404-8944 |
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