Organization
INJURY & WELLNESS SPECIALISTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNAZ MODARESI DC (OWNER)
(770) 800-1000
Entity
Organization
Contact information
Practice address
3800 HOLCOMB BRIDGE RD STE D, PEACHTREE CORNERS, GA 30092-2230
(770) 800-1000
(770) 800-1000
Mailing address
3800 HOLCOMB BRIDGE RD STE D, PEACHTREE CORNERS, GA 30092-2230
(770) 800-1000
(770) 800-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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