Individual
DR. BRADLEY NEAL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2970 CHEROKEE ST NW, KENNESAW, GA 30144-2826
(770) 694-6619
Mailing address
4909 SHALLOW CREEK TRL NW, KENNESAW, GA 30144-1492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010595
GA
Other
Enumeration date
11/25/2021
Last updated
07/18/2023
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