Organization
SCOLIOSIS SPECIALIST OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN OUELLETTE D.C (OWNER)
(678) 297-0901
Entity
Organization
Contact information
Practice address
11550 JONES BRIDGE RD, SUITE 4, ALPHARETTA, GA 30022-4540
(678) 297-0901
Mailing address
11550 JONES BRIDGE RD, SUITE 4, ALPHARETTA, GA 30022-4540
(678) 297-0901
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR005929
GA
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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