Provider Demographics
NPI:1952542250
Name:D&C WELLNESS CENTERS, INC.
Entity Type:Organization
Organization Name:D&C WELLNESS CENTERS, INC.
Other - Org Name:HEALTHSOURCE OF HAMILTON MILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:FLEMMING
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-578-0785
Mailing Address - Street 1:2725 HAMILTON MILL RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4187
Mailing Address - Country:US
Mailing Address - Phone:770-578-6505
Mailing Address - Fax:
Practice Address - Street 1:2725 HAMILTON MILL RD
Practice Address - Street 2:SUITE 500
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4187
Practice Address - Country:US
Practice Address - Phone:770-578-6505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty