Organization
INTEGRATED WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L WIZNITZER D.C. (MEMBER)
(770) 521-8994
Entity
Organization
Contact information
Practice address
11500 WEBB BRIDGE WAY, SUITE 5A, ALPHARETTA, GA 30005-2046
(770) 521-8994
Mailing address
11500 WEBB BRIDGE WAY, SUITE 5A, ALPHARETTA, GA 30005-2046
(770) 521-8994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/19/2009
Last updated
08/20/2010
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