Organization
EXPLORE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RUITENBEEK (OWNER)
(404) 901-2908
Entity
Organization
Contact information
Practice address
4880 LOWER ROSWELL RD STE 20, MARIETTA, GA 30068-4385
(470) 381-1787
Mailing address
4880 LOWER ROSWELL RD STE 20, MARIETTA, GA 30068-4385
(470) 381-1787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346704491
NPPES PERSONAL NPI
GA
Enumeration date
09/03/2021
Last updated
09/03/2021
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