Organization
SOUTH ATLANTA SPINE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN BRADLEY BRUNET D.C., BCAO (OWNER)
(678) 817-4053
Entity
Organization
Contact information
Practice address
288 HIGHWAY 314, SUITE C, FAYETTEVILLE, GA 30214-7830
(678) 817-4053
(675) 817-4058
Mailing address
288 HWY 314, SUITE C, FAYETTEVILLE, GA 30214-1385
(678) 817-4053
(675) 817-4058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006553
GA
Other
Enumeration date
11/16/2006
Last updated
10/28/2009
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