| Quality Life Chiropractic L.l.c | |
|
9950 Jones Bridge Rd, Suite 600, Johns Creek, GA 30022-6574 | |
| (770) 754-0037 | |
| (770) 754-7828 |
| Full Name | Quality Life Chiropractic L.l.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9950 Jones Bridge Rd, Johns Creek, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700276763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR008880 (Georgia) | Primary |
| Provider Name | Gavin W Richards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477820041 PECOS PAC ID: 4284891599 Enrollment ID: I20120127000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Life Chiropractic L.l.c 9950 Jones Bridge Rd, Suite 600, Johns Creek, GA 30022-6574 Ph: (770) 754-0037 | Quality Life Chiropractic L.l.c 9950 Jones Bridge Rd, Suite 600, Johns Creek, GA 30022-6574 Ph: (770) 754-0037 |
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