Organization
ORTHO INJURY AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON S SMITH DC (OWNER)
(770) 374-7302
Entity
Organization
Contact information
Practice address
6148 COVINGTON HWY STE A, LITHONIA, GA 30058-8372
(770) 374-7302
Mailing address
6148 COVINGTON HWY STE A, LITHONIA, GA 30058-8372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO06733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO06733
LICENSE
GA
Enumeration date
03/30/2012
Last updated
03/30/2012
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