Provider Demographics
NPI:1225128648
Name:WILBERT, MARCI JILL (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCI
Middle Name:JILL
Last Name:WILBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:MARCI
Other - Middle Name:JILL
Other - Last Name:HOARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:WILBERT FAMILY CHIROPRACTIC
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126
Mailing Address - Country:US
Mailing Address - Phone:770-944-0911
Mailing Address - Fax:770-944-1892
Practice Address - Street 1:1757 EAST WEST CONNECTOR RD
Practice Address - Street 2:SUITE 470
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106
Practice Address - Country:US
Practice Address - Phone:770-944-0911
Practice Address - Fax:770-944-1892
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor