Organization
PROSPINE WELLNESS & INJURY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND D TAYLOR DC (PRESIDENT)
(602) 430-6994
Entity
Organization
Contact information
Practice address
4200 WADE GREEN RD NW STE 204, KENNESAW, GA 30144-1808
(602) 430-6994
Mailing address
3430 HARRIS FARMS WAY, AUSTELL, GA 30106-8017
(602) 430-6994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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