Waggener Chiropractic and Wellness Center LLC
NPI #1114414620 in Springfield, Illinois
Provider Information
- NPI Number
- 1114414620
- Entity Type
- Organization
- Organization Name
- Waggener Chiropractic and Wellness Center LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 19, 2018
- Last Updated
- May 17, 2018
Practice Location
- Address
- 7012 KINGSMILL CT
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711
- Phone
- (217) 679-3637
Authorized Official
- Name
- SAMANTHA ARIEL MAYBERRY, DC
- Title
- OWNER/CHIROPRACTOR
- Phone
- (217) 679-3637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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