| Amplify Life Center | |
|
49 Hosiery Mill Rd Ste 113, Dallas, GA 30157-1688 | |
| (785) 766-0729 | |
| Not Available |
| Full Name | Amplify Life Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 49 Hosiery Mill Rd Ste 113, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962392225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (NU) | Primary |
| Provider Name | Myah Ashanti Grace Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043100399 PECOS PAC ID: 4486141801 Enrollment ID: I20260304003497 |
| Mailing Address | Practice Location Address |
|---|---|
| Amplify Life Center 2365 Worthington Dr, Powder Springs, GA 30127-3396 Ph: (785) 766-0729 | Amplify Life Center 49 Hosiery Mill Rd Ste 113, Dallas, GA 30157-1688 Ph: (785) 766-0729 |
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Dr. Myah Long, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 49 Hosiery Mill Rd Ste 113, Dallas, GA 30157 Phone: 785-766-0729 |
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