| Jay Brodwyn Clinicare Of Columbus Inc | |
|
3624 Edgewood Rd, Columbus, GA 31907-2184 | |
| (706) 563-3370 | |
| (706) 563-3501 |
| Full Name | Jay Brodwyn Clinicare Of Columbus Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3624 Edgewood Rd, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851325104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC1811 (Georgia) | Primary |
| Provider Name | Ivan J Brodwyn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538193503 PECOS PAC ID: 0143245993 Enrollment ID: I20051018000588 |
| Provider Name | Michael Haniotis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275829657 PECOS PAC ID: 7810283116 Enrollment ID: I20160913002256 |
| Provider Name | Jeremy W Wroten |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790343598 PECOS PAC ID: 4789010406 Enrollment ID: I20200128002691 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Brodwyn Clinicare Of Columbus Inc 3624 Edgewood Rd, Columbus, GA 31907-2184 Ph: (706) 563-3370 | Jay Brodwyn Clinicare Of Columbus Inc 3624 Edgewood Rd, Columbus, GA 31907-2184 Ph: (706) 563-3370 |
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