Organization
WELLNESS WAGON CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE GRACE SULLIVAN D.C. (OWNER)
(770) 757-0048
Entity
Organization
Contact information
Practice address
113 OAK LAUREL, WOODSTOCK, GA 30188
(770) 757-0048
Mailing address
113 OAK LAUREL, WOODSTOCK, GA 30188
(770) 757-0048
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
12/15/2009
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