Individual
JARED T WISKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
139 NORCROSS ST, ROSWELL, GA 30075-3867
(678) 321-1710
Mailing address
139 NORCROSS ST, ROSWELL, GA 30075-3867
(678) 321-1710
(378) 321-1711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO008042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-1538968
TAX ID
GA
Enumeration date
03/23/2007
Last updated
01/09/2024
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