Organization
CORRECTIVE CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H COLLIER D.C. (PRESIDENT)
(770) 924-6757
Entity
Organization
Contact information
Practice address
1811 HWY 92, SUITE 114, WOODSTOCK, GA 30189-4856
(770) 924-6757
Mailing address
1811 HWY 92,, SUITE 114, WOODSTOCK, GA 30189-4856
(770) 924-6757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR005357
GA
111N00000X
Chiropractor
CHIR008194
GA
207R00000X
Internal Medicine Physician
Primary
033179
GA
Other
Enumeration date
10/18/2007
Last updated
02/16/2010
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