Provider Demographics
NPI:1033392048
Name:DOWELL FAMILY WELLNESS, LLC
Entity Type:Organization
Organization Name:DOWELL FAMILY WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RICKY
Authorized Official - Last Name:DOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:470-395-3478
Mailing Address - Street 1:3600 DEKALB TECHNOLOGY PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-3612
Mailing Address - Country:US
Mailing Address - Phone:470-395-3478
Mailing Address - Fax:
Practice Address - Street 1:3600 DEKALB TECHNOLOGY PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-3612
Practice Address - Country:US
Practice Address - Phone:470-395-3478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty