| Enhanced Chiropractic, LLC | |
|
114 Canal St Ste 603 Pooler GA 31322-4292 | |
| (912) 414-5226 | |
| Not Available |
| Full Name | Enhanced Chiropractic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Canal St Ste 603, Pooler, Georgia |
| Authorized Official Name and Position | Shelley Wilkins (PRACTICE MANAGER) |
| Authorized Official Contact | 9124145226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Chiropractic, LLC 114 Canal St Ste 603 Pooler GA 31322-4292 Ph: (912) 414-5226 | Enhanced Chiropractic, LLC 114 Canal St Ste 603 Pooler GA 31322-4292 Ph: (912) 414-5226 |
| NPI Number | 1306432927 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Medicare PECOS PAC ID | 5698189686 |
|---|---|
| Medicare Enrollment ID | O20210203000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306432927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Lindsey N Farrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255060893 PECOS PAC ID: 0042684482 Enrollment ID: I20230324002726 |
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