Organization
WETHERINGTON CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BART WETHERINGTON D.C. (OWNER)
(912) 351-0005
Entity
Organization
Contact information
Practice address
329 EISENHOWER DR STE D, SAVANNAH, GA 31406-2695
(912) 351-0005
(912) 351-0007
Mailing address
5602 WATERS AVE, SAVANNAH, GA 31404-6296
(912) 351-0005
(912) 351-0007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCGPD
MEDICARE PTAN
GA
Enumeration date
04/23/2014
Last updated
12/06/2023
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