Provider Demographics
NPI:1336559590
Name:HEALTH POINT WELLNESS GROUP LLC
Entity Type:Organization
Organization Name:HEALTH POINT WELLNESS GROUP LLC
Other - Org Name:HEALTH POINT WELLNESS GROUP LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:I
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-580-2485
Mailing Address - Street 1:1720 MOUNT VERNON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4269
Mailing Address - Country:US
Mailing Address - Phone:678-580-2485
Mailing Address - Fax:770-559-7496
Practice Address - Street 1:1720 MOUNT VERNON RD
Practice Address - Street 2:SUITE B
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4269
Practice Address - Country:US
Practice Address - Phone:678-580-2485
Practice Address - Fax:770-559-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006124111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1336559590OtherHEALTH POINT WELLNESS GROUP LLC