Chiropractic Wellness Center P C
Chiropractor in Johns Creek, GA. Organization (NPI-2).
NPI number1093021818
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1093021818
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiropractic Wellness Center P C
- Organization subpart
- No
- Enumeration date
- Aug 31, 2010
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR006228 | GA | Yes |
Practice location
6385 McGinnis Ferry Rd Ste 201Johns Creek, GA 30005-3672
Phone 770-623-6880 · Fax 770-623-6440
Mailing address
6385 McGinnis Ferry Rd Ste 201Johns Creek, GA 30005-3672
Phone 770-623-6880 · Fax 770-623-6440
Authorized official
Joseph Fanning
President
7706236880
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All 32 Chiropractor providers in Johns Creek · All 1,177 providers in Johns Creek
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