Provider Demographics
NPI:1831138759
Name:WAMPLER, ATLEE T IV (DC)
Entity Type:Individual
Prefix:DR
First Name:ATLEE
Middle Name:T
Last Name:WAMPLER
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6849 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:B4, SUITE 101
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1610
Mailing Address - Country:US
Mailing Address - Phone:770-392-9299
Mailing Address - Fax:770-392-9298
Practice Address - Street 1:6849 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:B4, SUITE 101
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-1610
Practice Address - Country:US
Practice Address - Phone:770-392-9299
Practice Address - Fax:770-392-9298
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR007295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJFVMedicare ID - Type Unspecified
GAU98968Medicare UPIN