Provider Demographics
NPI:1164558300
Name:WISSLER, PAUL H (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
Last Name:WISSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 TILTON RD SE
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-5142
Mailing Address - Country:US
Mailing Address - Phone:706-277-1064
Mailing Address - Fax:
Practice Address - Street 1:220 TILTON RD SE
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-5142
Practice Address - Country:US
Practice Address - Phone:706-277-1064
Practice Address - Fax:706-217-1138
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO02246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor