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Mediwellness, LLC

NPI #1750615464 in Tucker, Georgia

Provider Information

NPI Number
1750615464
Entity Type
Organization
Organization Name
Mediwellness, LLC
Primary Specialty
Chiropractor - Neurology
Enumeration Date
Sep 28, 2009
Last Updated
Sep 28, 2009

Practice Location

Address
2227 IDLEWOOD RD
Address 2
SUITE 200
City
Tucker
State
Georgia
ZIP Code
30084-4827
Phone
(678) 531-9692

Authorized Official

Name
FANNIE CLARK
Title
CEO-DIRECTOR
Phone
(678) 531-9692

Specialties & Taxonomy Codes

Specialty
Chiropractor - Neurology — Neurology

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