Organization
GREATER LOUDOUN CHIROPRACTIC & WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY M FANELLI D.C., C.C.S.P. (OWNER)
(540) 338-0005
Entity
Organization
Contact information
Practice address
17337 PICKWICK DR STE B, PURCELLVILLE, VA 20132-6176
(540) 338-0005
(540) 338-0966
Mailing address
17337 PICKWICK DR STE B, PURCELLVILLE, VA 20132-6176
(540) 338-0005
(540) 338-0966
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104000954
VA
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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