| Healthsource Of Maryland Farms | |
|
5107 Maryland Way Ste 110, Brentwood, TN 37027-7565 | |
| (615) 307-0902 | |
| Not Available |
| Full Name | Healthsource Of Maryland Farms |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5107 Maryland Way Ste 110, Brentwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437856986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jay K Schroder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861401911 PECOS PAC ID: 1355384744 Enrollment ID: I20050607000401 |
| Provider Name | Elizabeth A Baker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932462355 PECOS PAC ID: 1254579857 Enrollment ID: I20130521000032 |
| Provider Name | Todd A Mcgilvra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093748246 PECOS PAC ID: 7719954064 Enrollment ID: I20160531000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Maryland Farms 5107 Maryland Way Ste 110, Brentwood, TN 37027-7565 Ph: () - | Healthsource Of Maryland Farms 5107 Maryland Way Ste 110, Brentwood, TN 37027-7565 Ph: (615) 307-0902 |
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