Doctor Name: | GAIL WANYO |
NPI Number: | 1114168143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C.. |
License Number: | 03140 |
Business Practice Address: | 3660 Canton Rd Ste 110 Marietta, GA - 300662660 |
Business Phone Number: | 6784452166 |
Business Fax Number: | |
Mailing Address: | 3660 Canton Rd Ste 110, MARIETTA |
State: | GA |
Postal Code: | 300662660 |
Phone Number: | 6784452166 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2009 |
NPI Last Update Date: | 03/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 03140 |
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. |