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Organization

ATLANTA SPINE AND WELLNESS - ROSWELL LLC

Active
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Organization

ATLANTA SPINE AND WELLNESS - ROSWELL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA MARIE OUDEKERK DC (OWNER)
(404) 480-3311
Entity
Organization

Contact information

Practice address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(404) 480-3311
(770) 727-8136
Mailing address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(404) 480-3311
(770) 727-8136

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—

Other

Enumeration date
07/14/2025
Last updated
09/02/2025
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