| Gravante Chiropractic & Nutrition Inc. | |
|
2795 Main Street, Ste B, Bldg 14, Snellville, GA 30078-2374 | |
| (678) 990-9400 | |
| Not Available |
| Full Name | Gravante Chiropractic & Nutrition Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2795 Main Street, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841536000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR002063 (Georgia) | Primary |
| Provider Name | Lorraine S Gravante |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427144120 PECOS PAC ID: 9537321815 Enrollment ID: I20120502000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Gravante Chiropractic & Nutrition Inc. 2795 Main Street, Ste B, Bldg 14, Snellville, GA 30078-2374 Ph: (678) 990-9400 | Gravante Chiropractic & Nutrition Inc. 2795 Main Street, Ste B, Bldg 14, Snellville, GA 30078-2374 Ph: (678) 990-9400 |
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