| Stephanie Nicole Ramos Plaza, DC | |
|
3081 Holcomb Bridge Rd Ste J1, Norcross, GA 30071-1396 | |
| (770) 559-9392 | |
| Not Available |
| Full Name | Stephanie Nicole Ramos Plaza |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 3081 Holcomb Bridge Rd Ste J1, Norcross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891500864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR011350 (Georgia) | Primary |
| Provider Name | Life Clinic Of Ga Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922752807 PECOS PAC ID: 5395122675 Enrollment ID: O20220509000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Nicole Ramos Plaza, DC 2205 Lake Park Dr Se Apt Q, Smyrna, GA 30080-8970 Ph: (470) 495-7796 | Stephanie Nicole Ramos Plaza, DC 3081 Holcomb Bridge Rd Ste J1, Norcross, GA 30071-1396 Ph: (770) 559-9392 |
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