Wellnessone of Duluth

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO06451 Issued in GA

Legal business name

WELLNESSONE OF DULUTH

Practice address

3294 Peachtree Industrial Blvd
Suite 2005a
Duluth, GA 30096-8322

Phone

(770) 495-8338

Fax

(770) 495-8628

NPI assigned

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keysa Murrell

Title

HR Director

Phone

(770) 850-0857

Specialties & licenses 1

Addresses

Tax ID family

Wellness One of Duluth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellness One of Duluth

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1639393879
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1235320748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671971",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060033",
            "telephone_number": "770-495-8338",
            "fax_number": "770-495-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 2005A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968322",
            "telephone_number": "770-495-8338",
            "fax_number": "770-495-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSONE OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "KEYSA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "770-850-0857"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Weldy
• Theresa Welles, PH.D.
• Amy Metz Woodward Wellington, PT
• Wellness One of Duluth
• Wellness Solution 360
• Kimberly Wells
• Wellstreet of Georgia PC
• Ellie Hammer Werner
• Shelley A West, D.C.
• Ann Whitaker, RD/N, LD, CDE

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.