Michael Wayne Headlee D.C.

NPI 1417085291 - Chiropractor - 111N00000X

NPI Details
NPI 1417085291
Gender Male
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
105 MIRRAMONT LAKE DR
WOODSTOCK GA, 30189-8214, US
Phone (678) 445-7055
Fax
Business Location
206 SAWTOOTH CT
CANTON GA, 30114-8803, US
Phone (770) 720-6813
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR008101
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According to our database, Dr. Michael Wayne Headlee D.C. NPI is 1417085291, taxonomy code is 111N00000X and license number is CHIR008101, license state is located at Georgia. Michael Wayne Headlee D.C. physically located at 105 Mirramont Lake Dr, Woodstock GA, 30189-8214. NPI Number Michael Wayne Headlee D.C. has the Individual type.

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1417085291 NPI number is provided on an as is basis without warranty of any kind. 1417085291 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Wayne Headlee D.C. are for informational purposes only.