| One Hundred Percent Chiropractic Atlanta Eight | |
|
4490 Chamblee Dunwoody Rd Ste D, Atlanta, GA 30338-6237 | |
| (770) 457-1571 | |
| (770) 457-1571 |
| Full Name | One Hundred Percent Chiropractic Atlanta Eight |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4490 Chamblee Dunwoody Rd Ste D, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009842 (Georgia) | Primary |
| Provider Name | Twila Blossom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104344605 PECOS PAC ID: 8527318658 Enrollment ID: I20180921002461 |
| Mailing Address | Practice Location Address |
|---|---|
| One Hundred Percent Chiropractic Atlanta Eight 4516 Hunters Way, Stone Mountain, GA 30083-2553 Ph: (404) 536-4267 | One Hundred Percent Chiropractic Atlanta Eight 4490 Chamblee Dunwoody Rd Ste D, Atlanta, GA 30338-6237 Ph: (770) 457-1571 |
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