Individual
WAI SUM VANESSA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
517 PARK RIDGE CIR, MARIETTA, GA 30068-4638
(404) 468-0445
Mailing address
517 PARK RIDGE CIR, MARIETTA, GA 30068-4638
(404) 468-0445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010890
GA
208100000X
Physical Medicine & Rehabilitation Physician
CHIR010890
GA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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