Organization
ADVANCED FAMILY WELLNESS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYYANA BURVICK (OWNER/MEMBER)
(770) 485-7101
Entity
Organization
Contact information
Practice address
555 SUN VALLEY DR STE A3, ROSWELL, GA 30076-5606
(770) 485-7101
Mailing address
555 SUN VALLEY DR STE A3, ROSWELL, GA 30076-5606
(770) 485-7101
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR008909
GA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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