The Wellpath Center P.C.
Chiropractor in Kennesaw, GA. Organization (NPI-2).
NPI number1043663560
StatusActive
Last updated in NPPESJan 29, 2021
Details
- NPI
- 1043663560
- Entity type
- Organization (NPI-2)
- Legal business name
- The Wellpath Center P.C.
- Organization subpart
- No
- Enumeration date
- Jul 20, 2016
- Certification date
- Jan 29, 2021
- Last updated
- Jan 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009246 | GA | Yes |
Practice location
1301 Shiloh Rd Nw Ste 1610Kennesaw, GA 30144-7168
Phone 770-218-1166 · Fax 770-218-1006
Mailing address
1301 Shiloh Rd Nw Ste 1610Kennesaw, GA 30144-7168
Phone 770-218-1166 · Fax 770-218-1006
Authorized official
Charles Cilinski
President
7039158789
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