Doctor Name: | DR. WAYNE CAREY DEPAZ |
NPI Number: | 1891853768 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 2643 |
Business Practice Address: | 1017 E Hwy 80 Suite 17 Pooler, GA - 31322 |
Business Phone Number: | 9127489125 |
Business Fax Number: | 9128260352 |
Mailing Address: | 1017 E Hwy 80, Suite 17 POOLER |
State: | GA |
Postal Code: | 31322 |
Phone Number: | 9127489125 |
Fax Number: | 9128260352 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2643 |
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. |