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Organization
SOUTH ATLANTA SPINE AND WELLNESS CENTER
Active
Organization
SOUTH ATLANTA SPINE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN BRADLEY BRUNET D.C., BCAO (OWNER)
(678) 817-4053
Entity
Organization
Contact information
Practice address
288 HIGHWAY 314, SUITE C, FAYETTEVILLE, GA 30214-7830
(678) 817-4053
(675) 817-4058
Mailing address
288 HWY 314, SUITE C, FAYETTEVILLE, GA 30214-1385
(678) 817-4053
(675) 817-4058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006553
GA
Other
Enumeration date
11/16/2006
Last updated
10/28/2009
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