| Dr Richard Allen Wildermuth, DC | |
|
120 Hickory Flat Hwy, Holly Springs, GA 30114 | |
| (678) 880-6616 | |
| Not Available |
| Full Name | Dr Richard Allen Wildermuth |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 120 Hickory Flat Hwy, Holly Springs, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487461547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR011200 (Georgia) | Primary |
| Provider Name | Georgia Chiropractic And Massage Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023764172 PECOS PAC ID: 7810375383 Enrollment ID: O20220613001167 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Allen Wildermuth, DC 120 Hickory Flat Hwy, Holly Springs, GA 30114 Ph: (678) 880-6616 | Dr Richard Allen Wildermuth, DC 120 Hickory Flat Hwy, Holly Springs, GA 30114 Ph: (678) 880-6616 |
Georgia Chiropractic And Massage, Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 120 Hickory Rd, Holly Springs, GA 30115 Phone: 678-880-6616 Fax: 678-880-6617 | |
Dr. Jillian Ferdinand, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 Hickory Rd, Holly Springs, GA 30115 Phone: 678-880-6616 | |
Alexandra Deister, Chiropractor Medicare: Medicare Enrolled Practice Location: 120 Hickory Rd, Holly Springs, GA 30115 Phone: 678-880-6616 | |
Dr. Randall James Boyd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3005 Holly Springs Pkwy, Suite 103, Holly Springs, GA 30115 Phone: 770-704-6332 | |
Creekside Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188 Phone: 770-744-8393 | |
Creekside Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188 Phone: 770-744-8393 |