Buckhead Chiropractic & Wellness
Clinic/Center in Roswell, GA. Organization (NPI-2).
NPI number1669980256
StatusActive
Last updated in NPPESJan 17, 2018
Details
- NPI
- 1669980256
- Entity type
- Organization (NPI-2)
- Legal business name
- Buckhead Chiropractic & Wellness
- Organization subpart
- No
- Enumeration date
- Jan 17, 2018
- Last updated
- Jan 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | CHIR009661 | GA | Yes |
Practice location
600 Houze Way Ste A1Roswell, GA 30076-1432
Phone 770-993-9287
Mailing address
3020 Manor Creek CtRoswell, GA 30075-1499
Phone 239-293-4980
Authorized official
Jillian N. Bowes
Owner
2392934980
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