Individual
JARROD WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11525 HAYNES BRIDGE RD, SUITE 120, ALPHARETTA, GA 30009-4821
(770) 772-3500
Mailing address
3774 ASHFORD LAKE CT NE, BROOKHAVEN, GA 30319-1861
(404) 944-1813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR07337
GA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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