| Sports Performance Concepts, Llc | |
|
3985 Lakefield Ct Ste 206, Suwanee, GA 30024-1209 | |
| (470) 239-0770 | |
| Not Available |
| Full Name | Sports Performance Concepts, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 3985 Lakefield Ct Ste 206, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518381938 | NPI | - | NPPES |
| 1467144220 | Other | GA | TYPE 1 NPI FOR IR |
| 1063760635 | Other | GA | TYPE I NPI |
| 1518380938 | Other | GA | TYPE 2 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | CHIR009018 (Georgia) | Primary |
| Provider Name | Lauren Ashley Cortjens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063760635 PECOS PAC ID: 4486959525 Enrollment ID: I20160226001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Performance Concepts, Llc 3985 Lakefield Ct Ste 206, Suwanee, GA 30024-1209 Ph: (470) 239-0770 | Sports Performance Concepts, Llc 3985 Lakefield Ct Ste 206, Suwanee, GA 30024-1209 Ph: (470) 239-0770 |
Alliance Health Group Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3320 Lawrenceville Suwanee Road, Suite 1c, Suwanee, GA 30024 Phone: 678-714-5722 Fax: 678-714-5724 | |
Dr. Jin Ho Seo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2800 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 678-926-3868 | |
Dr. Christopher L Waters, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3320 Lawrenceville Suwanee Rd, Suite 1c, Suwanee, GA 30024 Phone: 678-714-5722 Fax: 678-714-5724 | |
John D. Kim Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1299 Old Peachtree Rd Nw, Suite # 101, Suwanee, GA 30024 Phone: 770-882-6666 Fax: 770-252-6800 | |
Rebecca Capata Sarlea, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 425 Buford Hwy Ste 102, Suwanee, GA 30024 Phone: 954-681-2656 | |
Dr. Sung H Yang, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1299 Old Peachtree Rd Nw, Suite 101, Suwanee, GA 30024 Phone: 770-882-6666 Fax: 770-252-6800 | |
Emily Blum, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2615 Peachtree Pkwy Ste 270, Suwanee, GA 30024 Phone: 678-541-9100 |