Organization Name: | ALPHARETTA PROADJUSTER WELLNESS CENTER LLC |
NPI Number: | 1750683736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DR. FAHEEM NASIR (CEO/CLINIC DIRECTOR) |
Mailing Address: | 1 Baltimore Pl Nw Atlanta |
State: | GA US |
Postal Code: | 303082116 |
Phone Number: | 7706302882 |
Fax Number: | 7706518039 |
NPI Enumeration Date: | 11/24/2010 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 008057 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |