# INTEGRATED WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497083083
- **Authorized official:** DR. DAVID L WIZNITZER D.C. (MEMBER)
- **Authorized official phone:** (770) 521-8994

## Contact information

- **Practice address:** 11500 WEBB BRIDGE WAY, SUITE 5A, ALPHARETTA, GA 30005-2046
- **Practice address phone:** (770) 521-8994
- **Mailing address:** 11500 WEBB BRIDGE WAY, SUITE 5A, ALPHARETTA, GA 30005-2046
- **Mailing address phone:** (770) 521-8994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 08/20/2010