Provider Demographics
NPI:1912234428
Name:WHEELER, GREGORY MARTIN (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MARTIN
Last Name:WHEELER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:243 SMITHVILLE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-7803
Mailing Address - Country:US
Mailing Address - Phone:478-333-3320
Mailing Address - Fax:478-333-3394
Practice Address - Street 1:243 SMITHVILLE CHURCH RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7803
Practice Address - Country:US
Practice Address - Phone:478-333-3320
Practice Address - Fax:478-333-3394
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO008566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2021358485Medicare PIN