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Organization

WELLNESS ONE OF VININGS

Active
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Organization

WELLNESS ONE OF VININGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL LYNN MIDDLETON (BILLING MANAGER)
(770) 850-0857
Entity
Organization

Contact information

Practice address
4300 PACES FERRY RD, SUITE #472, ATLANTA, GA 30339
(770) 444-0949
Mailing address
PO BOX 673111, MARIETTA, GA 30006-3111
(770) 444-0949

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO07472
GA
207Q00000X
Family Medicine Physician
024767
GA
207Q00000X
Family Medicine Physician
Primary
042114
GA

Other

Enumeration date
04/10/2007
Last updated
09/11/2025
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