Wellnessone Of Stone Mountain

NPI 1003008426 - Chiropractor - 111N00000X

NPI Details
NPI 1003008426
Enumeration Date 08/10/2007
Last Updated 08/10/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEYSA KEYSA
Position HR DIRECTOR
Phone (770) 469-1600
Fax (770) 469-2238
Practice Location
6254 MEMORIAL DR STE F
STONE MOUNTAIN GA, 30083-2884, US
Phone (770) 469-1600
Fax (770) 469-2238
Business Location
PO BOX 672842
MARIETTA GA, 30006-0048, US
Phone (770) 469-1600
Fax (770) 469-2238
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIRO06423
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According to our database, Wellnessone Of Stone Mountain NPI is 1003008426, taxonomy code is 111N00000X and license number is CHIRO06423, license state is located at Georgia. Wellnessone Of Stone Mountain physically located at 6254 Memorial Dr Ste F, Stone Mountain GA, 30083-2884. NPI Number 1033115704 has the healthcare provider type.

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1003008426 NPI number is provided on an as is basis without warranty of any kind. 1003008426 is maintained by the National Plan & Provider Enumeration System. The contents of Wellnessone Of Stone Mountain are for informational purposes only.