Organization
CORE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LEBHAFT (MEMBER MANAGER)
(770) 942-2396
Entity
Organization
Contact information
Practice address
3614 HIGHWAY 5, DOUGLASVILLE, GA 30135-2314
(770) 942-2396
Mailing address
3614 HIGHWAY 5, DOUGLASVILLE, GA 30135-2314
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO6253
GA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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