Provider Demographics
NPI:1740929322
Name:WELL HEALTH CHIROPRACTIC SMYRNA PLLC
Entity type:Organization
Organization Name:WELL HEALTH CHIROPRACTIC SMYRNA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-389-4303
Mailing Address - Street 1:1085 SANDGRASS BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-8863
Mailing Address - Country:US
Mailing Address - Phone:615-517-4501
Mailing Address - Fax:
Practice Address - Street 1:479 W SAM RIDLEY PKWY STE 6
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6486
Practice Address - Country:US
Practice Address - Phone:615-751-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty