Organization
MAX 360 HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN OUELLETTE D.C. (OWNER)
(770) 312-5005
Entity
Organization
Contact information
Practice address
12315 CRABAPPLE RD, SUITE 144, ALPHARETTA, GA 30004-6329
(678) 261-3222
(678) 261-3226
Mailing address
12315 CRABAPPLE RD, SUITE 144, ALPHARETTA, GA 30004-6329
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
038955
GA
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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