Individual
GAIL WANYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C..
Contact information
Practice address
3660 CANTON RD STE 110, MARIETTA, GA 30066-2660
(678) 445-2166
Mailing address
3660 CANTON RD STE 110, MARIETTA, GA 30066-2660
(678) 445-2166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03140
GA
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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