Organization
EVOLUTION CHIROPRACTIC
Active
Other names
Back 2 Back Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WALLIN D.C. (CHIROPRACTOR/PRESIDENT)
(770) 391-2771
Entity
Organization
Contact information
Practice address
1705 MOUNT VERNON RD, DUNWOODY, GA 30338-4261
(770) 391-2771
Mailing address
1705 MOUNT VERNON RD, DUNWOODY, GA 30338-4261
(770) 391-2771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831563469
NPI
MI
Enumeration date
06/13/2016
Last updated
06/13/2016
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