Organization
ALEXANDRIA PAIN & REHABILITATION CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATLEE WAMPLER IV DC (CEO/OWNER)
(678) 524-6828
Entity
Organization
Contact information
Practice address
5904 OLD RICHMOND HWY, SUITE 515, ALEXANDRIA, VA 22303
(240) 357-0342
Mailing address
PO BOX 566455, ATLANTA, GA 31156-6455
(240) 357-0342
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104001476
VA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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