Individual
KIMBERLY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
510 PLAZA DRIVE ATLANTA GA 30349, SUITE 1550, COLLEGE PARK, GA 30349-4107
(470) 731-0458
(470) 541-1449
Mailing address
510 PLAZA DRIVE ATLANTA GA 30349, SUITE 1550, COLLEGE PARK, GA 30349
(470) 731-0458
(470) 541-1449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009225
GA
Other
Enumeration date
11/22/2013
Last updated
04/05/2023
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