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NPI Code Detail

MEDICARE: DR. CHARLES R KRATZ D.C.

MEDICARE:  DR. CHARLES R KRATZ  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIR008480GA

General Provider Information

NPI Number : 1972724474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES R KRATZ D.C.
Provider Business Mailing Address
First Line : 4135 WOODWIND DR
Second Line :
City : CUMMING
State : GA
Zip : 30028-2100
Country : US
Telephone Number : 404-916-2181
Fax Number :
Provider Business Practice Location Address
First Line : 51060 HAYES RD
Second Line :
City : MACOMB
State : MI
Zip : 48042-4057
Country : US
Telephone Number : 586-781-4314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 09/14/2023

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Directions to “ DR. CHARLES R KRATZ D.C.” Practice Location

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