| Ac Spine & Wellness Center Llc | |
|
217 Scenic Hwy # 124 Lawrenceville GA 30046-5621 | |
| (770) 513-8922 | |
| (770) 513-0547 |
| Full Name | Ac Spine & Wellness Center Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 217 Scenic Hwy # 124, Lawrenceville, Georgia |
| Authorized Official Name and Position | Jeanette E Altieri (OWNER) |
| Authorized Official Contact | 7705138922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Spine & Wellness Center Llc 217 Scenic Hwy # 124 Lawrenceville GA 30046-5621 Ph: (770) 513-8922 | Ac Spine & Wellness Center Llc 217 Scenic Hwy # 124 Lawrenceville GA 30046-5621 Ph: (770) 513-8922 |
| NPI Number | 1013265479 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 9133379605 |
|---|---|
| Medicare Enrollment ID | O20130715000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013265479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Hoyt W Gazaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088505 PECOS PAC ID: 3678570868 Enrollment ID: I20061101000016 |
| Provider Name | Jenny H Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972939130 PECOS PAC ID: 6709012958 Enrollment ID: I20131119000389 |
| Provider Name | Jueth Atigbi-hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588064596 PECOS PAC ID: 6800017872 Enrollment ID: I20141016002697 |
| Provider Name | John Klubenspies |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609907062 PECOS PAC ID: 5092191262 Enrollment ID: I20220927000198 |
| Provider Name | Samuel Hilton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407379746 PECOS PAC ID: 8022495928 Enrollment ID: I20230421000118 |
Noemi A. Carcar, Md,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Norvin Ona, Do, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Zenia 2 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |