Organization
WELLSPRING CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELAIA TAJUAN PAYTON BS, DC (OWNER)
(404) 826-1425
Entity
Organization
Contact information
Practice address
235 E PONCE DE LEON AVE STE 109, DECATUR, GA 30030-3412
(404) 826-1425
Mailing address
235 E PONCE DE LEON AVE STE 109, DECATUR, GA 30030-3412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007660
GA
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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