| Just E Buddy Health Systems | |
|
510 Swanson Rd Tyrone GA 30290-6900 | |
| (770) 964-5230 | |
| (770) 962-8175 |
| Full Name | Just E Buddy Health Systems |
|---|---|
| Speciality | Chiropractor |
| Location | 510 Swanson Rd, Tyrone, Georgia |
| Authorized Official Name and Position | Anna Moore Just Budy (OWNER) |
| Authorized Official Contact | 7709645230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Just E Buddy Health Systems 510 Swanson Rd Tyrone GA 30290-6900 Ph: (770) 964-5230 | Just E Buddy Health Systems 510 Swanson Rd Tyrone GA 30290-6900 Ph: (770) 964-5230 |
| NPI Number | 1346509635 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 5496918336 |
|---|---|
| Medicare Enrollment ID | O20120514000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346509635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 111N00000X | Chiropractor | CHIR007386 (Georgia) | Primary |
| Provider Name | Anna Maria Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306026380 PECOS PAC ID: 6507856069 Enrollment ID: I20040517000121 |
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