Alliance Health and Wellness Center PC

Organization Active NPI Rehabilitation Chiropractor · Cumming, GA

NPI 1497977938 · NPPES record last updated Oct 13, 2010

Key facts

NPI
1497977938
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
CHIR005583 (GA)
Legal business name
ALLIANCE HEALTH AND WELLNESS CENTER PC
Practice address
233 Atlanta Rd
Cumming, GA 30040-2609
Phone
(770) 888-4600
Fax
(770) 888-4601
NPI assigned
May 3, 2007
Organization subpart
No

Authorized official

Name
Dr. Brian Jon Ruggiero, D.C.
Title
Owner
Phone
(770) 888-4600

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120724000384 GA Part B Supplier - Clinic/Group Practice 0345406179 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

Locations

233 Atlanta Rd
Cumming, GA 30040
Phone (770) 888-4600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NR0400X CHIR005583 GA Yes

Addresses

Primary practice location

233 Atlanta Rd
Cumming, GA 30040-2609

Mailing address

233 Atlanta Rd
Cumming, GA 30040-2609
Phone (770) 888-4600

Other providers in Cumming, GA

All providers in Cumming, GA · Rehabilitation Chiropractor in Georgia

Sources for this page

Verify at the official NPI Registry.