Organization
ELITE TOTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA NOEL BACKENSTOSE DC (CO-OWNER)
(678) 594-3119
Entity
Organization
Contact information
Practice address
3335 COBB PKWY NW STE 230, ACWORTH, GA 30101-8361
(678) 594-3119
(678) 368-4922
Mailing address
3335 COBB PKWY NW STE 230, ACWORTH, GA 30101-8361
(678) 594-3119
(678) 368-4922
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
09/15/2021
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