NPI | 1578843256 |
---|---|
Doing Business As | WELLNESS PLUS CLINIC |
Entity Type | Organization |
Authorized Contact | MARK REZNIK Practice Administrator 770-652-3667 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: GA 044023) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO07312) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-08-25 |