Provider Demographics
NPI:1760982417
Name:RLM
Entity Type:Organization
Organization Name:RLM
Other - Org Name:INFINITE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-670-9525
Mailing Address - Street 1:4606 DUKES RD
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31503-0632
Mailing Address - Country:US
Mailing Address - Phone:912-670-9525
Mailing Address - Fax:
Practice Address - Street 1:918 YEOMANS ST
Practice Address - Street 2:
Practice Address - City:BLACKSHEAR
Practice Address - State:GA
Practice Address - Zip Code:31516-2072
Practice Address - Country:US
Practice Address - Phone:912-670-9525
Practice Address - Fax:912-670-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty