| Anapa Wellness And Chiropractic Clinic | |
|
2472 Pleasant Hill Rd Suite 203a Duluth GA 30096-1746 | |
| (770) 623-9229 | |
| (866) 868-8705 |
| Full Name | Anapa Wellness And Chiropractic Clinic |
|---|---|
| Speciality | General Practice |
| Location | 2472 Pleasant Hill Rd, Duluth, Georgia |
| Authorized Official Name and Position | Woo Jin Kim (PRESIDENT) |
| Authorized Official Contact | 7706239229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anapa Wellness And Chiropractic Clinic 2472 Pleasant Hill Rd Suite 203a Duluth GA 30096-1746 Ph: (770) 623-9229 | Anapa Wellness And Chiropractic Clinic 2472 Pleasant Hill Rd Suite 203a Duluth GA 30096-1746 Ph: (770) 623-9229 |
| NPI Number | 1023421914 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/09/2014 |
| Medicare PECOS PAC ID | 5890917298 |
|---|---|
| Medicare Enrollment ID | O20141120000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023421914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 27746 (Georgia) | Primary |
| Provider Name | Jonathan M Senning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407941974 PECOS PAC ID: 2062302524 Enrollment ID: I20040324000079 |
| Provider Name | Stacey D Willingham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144485293 PECOS PAC ID: 3779626577 Enrollment ID: I20100202000467 |
| Provider Name | Mikael W Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942491352 PECOS PAC ID: 5991895450 Enrollment ID: I20140813000148 |
| Provider Name | Se Jin Son |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841744497 PECOS PAC ID: 1052691177 Enrollment ID: I20161207001572 |
| Provider Name | Zachariah Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053786392 PECOS PAC ID: 6406116037 Enrollment ID: I20180130002883 |
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