Howard  J  Krisel    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005701
NPI
1952470338
Tax ID
202749765
Effective Date
4/1/2012
Last Updated
9/27/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4403 Northside Parkway Northwest
Atlanta, GA 30327
United States
County
Fulton
Phone
4042333386 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address