Organization
INJURED WORKERS ASSISTANCE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON TOLLETT (REGIONAL DIRECTOR)
(713) 539-8175
Entity
Organization
Contact information
Practice address
1657 PHOENIX BLVD, SUITE 5, COLLEGE PARK, GA 30349-5554
(713) 539-8175
Mailing address
1657 PHOENIX BLVD, SUITE 5, COLLEGE PARK, GA 30349-5554
(713) 539-8175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
09/07/2016
Last updated
09/16/2016
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