| Cleary Family Chiropractic Llc | |
|
246 Creekstone Rdg Woodstock GA 30188-3732 | |
| (585) 455-9576 | |
| (678) 494-9771 |
| Full Name | Cleary Family Chiropractic Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 246 Creekstone Rdg, Woodstock, Georgia |
| Authorized Official Name and Position | Matthew Brooks Cleary (OWNER) |
| Authorized Official Contact | 5854559576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleary Family Chiropractic Llc 246 Creekstone Rdg Woodstock GA 30188-3732 Ph: (585) 455-9576 | Cleary Family Chiropractic Llc 246 Creekstone Rdg Woodstock GA 30188-3732 Ph: (585) 455-9576 |
| NPI Number | 1497012298 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 1355595992 |
|---|---|
| Medicare Enrollment ID | O20130206000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497012298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 008848 (New York) | Secondary |
| 111N00000X | Chiropractor | 008848 (Georgia) | Primary |
| Provider Name | Matthew B Cleary |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376827006 PECOS PAC ID: 9133382849 Enrollment ID: I20130206000346 |
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