Individual
DR. BRIAN PETER DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4294 MEMORIAL DR STE D, DECATUR, GA 30032-1226
(470) 231-5272
Mailing address
2479 CEDAR CANYON RD SE, MARIETTA, GA 30067-6696
(616) 485-2354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9077
AZ
111N00000X
Chiropractor
Primary
CHIR010554
GA
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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