Core Pain & Wellness Center LLC

NPI #1417620659 in Fairfax, Virginia

Provider Information

NPI Number: 1417620659
Entity Type: Organization
Organization Name: Core Pain & Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 25, 2021
Last Updated: Jul 25, 2021

Practice Location

Address: 10721 MAIN ST STE G7
City: Fairfax
State: Virginia
ZIP Code: 22030-6913
Phone: (703) 814-6650

Authorized Official

Name: PETER TAEJOO JEONG, DC
Title: PRESIDENT
Phone: (703) 814-6650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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