Provider Demographics
NPI:1568929677
Name:BULLDOG WELLNESS LLC
Entity Type:Organization
Organization Name:BULLDOG WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:WILBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-335-2225
Mailing Address - Street 1:30332 HIGHWAY 441 S
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-6348
Mailing Address - Country:US
Mailing Address - Phone:706-335-2225
Mailing Address - Fax:706-335-2231
Practice Address - Street 1:30332 HIGHWAY 441 S
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-6348
Practice Address - Country:US
Practice Address - Phone:706-335-2225
Practice Address - Fax:706-335-2231
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BULLDOG WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center