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Contact Information

MIRACLE CHIROPRACTIC REHAB & WELLNESS
6853 DOUGLAS BLVD
DOUGLASVILLE, GA30135-7179
 Phone: 770-731-1114
 Fax: 404-682-1396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for MIRACLE CHIROPRACTIC REHAB WELLNESS · (Female)

NPI Number 1477361830
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2024
Last updated 12/19/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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