Organization
EAST METRO WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS STEPHENS D.C. (PRESIDENT)
(770) 922-7282
Entity
Organization
Contact information
Practice address
1289 PARKER RD SE, CONYERS, GA 30094-5957
(770) 922-7282
(770) 922-7843
Mailing address
PO BOX 83363, CONYERS, GA 30013-9444
(770) 922-7282
(770) 922-7843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002911
GA
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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