Organization
DOUGLASVILLE WELLNESS AND CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE RUSSO DC (DOCTOR)
(770) 942-9494
Entity
Organization
Contact information
Practice address
3677 HIGHWAY 5, DOUGLASVILLE, GA 30135-6930
(770) 942-9494
(770) 942-9500
Mailing address
3677 HIGHWAY 5, DOUGLASVILLE, GA 30135-6930
(770) 942-9494
(770) 942-9500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHRI004944
GA
Other
Enumeration date
11/05/2007
Last updated
11/21/2011
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