Organization
WESTSIDE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE C DE PAZ D.C. (PRESIDENT)
(912) 748-9125
Entity
Organization
Contact information
Practice address
1017 US HIGHWAY 80 E STE 17, POOLER, GA 31322-9533
(912) 748-9125
(912) 826-0352
Mailing address
1017 US HIGHWAY 80 E STE 17, POOLER, GA 31322-9533
(912) 748-9125
(912) 826-0352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2643
GA
Other
Enumeration date
04/15/2014
Last updated
05/28/2014
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