Organization
ALLIANCE SPINE AND PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZOELLER (OWNER)
(678) 469-6939
Entity
Organization
Contact information
Practice address
12045 HIGHWAY 92, WOODSTOCK, GA 30188-4499
(404) 934-7367
Mailing address
105 WATERS EDGE DR, WOODSTOCK, GA 30188-5695
(404) 934-7367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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