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Individual

DR. ASHLEY WEDGWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
104 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8213
(770) 517-5610
(770) 517-5611
Mailing address
PO BOX 2563, ACWORTH, GA 30102-0010
(770) 517-5610
(770) 517-5611

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009149
GA

Other

Enumeration date
02/24/2014
Last updated
03/26/2014
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