Provider Demographics
NPI:1043663560
Name:THE WELLPATH CENTER P.C.
Entity Type:Organization
Organization Name:THE WELLPATH CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CILINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-915-8789
Mailing Address - Street 1:1301 SHILOH RD NW STE 1610
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7168
Mailing Address - Country:US
Mailing Address - Phone:770-218-1166
Mailing Address - Fax:770-218-1006
Practice Address - Street 1:1301 SHILOH RD NW STE 1610
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7168
Practice Address - Country:US
Practice Address - Phone:770-218-1166
Practice Address - Fax:770-218-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty