# SCOLIOSIS SPECIALIST OF GEORGIA PC

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

## Provider details

- **NPI number:** 1497165773
- **Authorized official:** DR. BRIAN OUELLETTE D.C (OWNER)
- **Authorized official phone:** (678) 297-0901

## Contact information

- **Practice address:** 11550 JONES BRIDGE RD, SUITE 4, ALPHARETTA, GA 30022-4540
- **Practice address phone:** (678) 297-0901
- **Mailing address:** 11550 JONES BRIDGE RD, SUITE 4, ALPHARETTA, GA 30022-4540
- **Mailing address phone:** (678) 297-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | CHIR005929 | GA | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 05/07/2014