Doctor Name: | JARED T WISKIND |
NPI Number: | 1003933086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CHIRO008042 |
Business Practice Address: | 255 Norcross St Roswell, GA - 300753865 |
Business Phone Number: | 6783211710 |
Business Fax Number: | |
Mailing Address: | 265 Edwardton Ct, ROSWELL |
State: | GA |
Postal Code: | 300763685 |
Phone Number: | 4044314853 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIRO008042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |