| Dr Adrian Collazo, DC | |
|
1068 Laurel Valley Dr Sw, Marietta, GA 30064-3972 | |
| (787) 918-5191 | |
| Not Available |
| Full Name | Dr Adrian Collazo |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1068 Laurel Valley Dr Sw, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487157343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR010034 (Georgia) | Primary |
| Provider Name | Pop Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194338574 PECOS PAC ID: 4284045014 Enrollment ID: O20201130000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adrian Collazo, DC 1068 Laurel Valley Dr Sw, Marietta, GA 30064-3972 Ph: (787) 450-7199 | Dr Adrian Collazo, DC 1068 Laurel Valley Dr Sw, Marietta, GA 30064-3972 Ph: (787) 918-5191 |
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