Organization
DR. SAMUEL WIREMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MARK WIREMAN DC (CHIROPRACTOR)
(215) 681-2829
Entity
Organization
Contact information
Practice address
1409 N HIGHLAND AVE NE STE A, ATLANTA, GA 30306-3300
(404) 860-1030
Mailing address
19 RIDGE RUN SE APT O, MARIETTA, GA 30067-8229
(215) 681-2829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009908
GA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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