Provider Demographics
NPI:1932533965
Name:SANCHES, WENDY NICOLE (DC, CACCP)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:NICOLE
Last Name:SANCHES
Suffix:
Gender:F
Credentials:DC, CACCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 TOWNE PARK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-9364
Mailing Address - Country:US
Mailing Address - Phone:912-826-3482
Mailing Address - Fax:912-826-0125
Practice Address - Street 1:812 TOWNE PARK DR STE 400
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-9364
Practice Address - Country:US
Practice Address - Phone:912-826-3482
Practice Address - Fax:912-826-0125
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO009190111NP0017X, 111NN1001X, 111NR0400X, 111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician