Organization
DECATUR WELLNESS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARI L DIANICH D.C. (OWNER)
(404) 388-3996
Entity
Organization
Contact information
Practice address
235 E PONCE DE LEON AVE STE 308, DECATUR, GA 30030-3412
(404) 371-8595
Mailing address
235 E PONCE DE LEON AVE STE 308, DECATUR, GA 30030-3412
(404) 371-8595
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CHIR005135
GA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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