Individual
DR. JACQUELINE WAICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, ATC
Contact information
Practice address
5064 ROSWELL RD, SUITE C-201, ATLANTA, GA 30342-2281
(404) 233-2440
Mailing address
1627 WINDSTONE DR, RINGGOLD, GA 30736-4123
(570) 956-1956
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR008886
GA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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