Organization
ELITE REHAB AND WEIGHTLOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENNA CULL (CEO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
1544 SOUTHLAKE PKWY, SUITE 9D, MORROW, GA 30260-3025
(678) 469-5011
Mailing address
45 FAIRWAY RIDGE DR, JOHNS CREEK, GA 30022-5421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006798
GA
111N00000X
Chiropractor
CHIR006852
GA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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