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WELLNESSONE OF STONE MOUNTAIN NPI 1003008426


NPI Profile

NPI: 1003008426
Provider Name: WELLNESSONE OF STONE MOUNTAIN
Classification:Chiropractor - 111N00000X
Entity Type: Organization
Address:
6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA
ZIP 30083
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Phone: (770) 469-1600

WELLNESSONE OF STONE MOUNTAIN is a chiropractor in Stone Mountain, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESSONE OF STONE MOUNTAIN NPI is 1003008426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA
ZIP 30083-884
Phone: (770) 469-1600
Fax: (770) 469-2238

The provider's authorized official is Keysa Murrell .
The authorized official title is Hr Director and has the following contact phone number (770) 850-0857.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 8/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIRO06423GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135ZCGHJMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/13/2022

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