Organization
WALDORF 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
3050 CRAIN HWY, 7100 PEACHTREE DUNWOODY ROAD, WALDORF, MD 20601-2824
(240) 357-0342
Mailing address
PO BOX 566455, ATLANTA, GA 31156-6455
(770) 504-5162
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
01649
MD
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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