Organization
ATLANTA SPINE AND WELLNESS - ROSWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE OUDEKERK DC (OWNER)
(404) 480-3311
Entity
Organization
Contact information
Practice address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(404) 480-3311
(770) 727-8136
Mailing address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(404) 480-3311
(770) 727-8136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
09/02/2025
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