Wellness Wagon Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLNESS WAGON CHIROPRACTIC, LLC

Practice address

113 Oak Laurel
Woodstock, GA 30188

Phone

(770) 757-0048

NPI assigned

Jan 7, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Grace Sullivan, D.C.NPI 1629215009

Title

Owner

Phone

(770) 757-0048

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Grace Sullivan, D.C.

  • Chiropractor
  • Woodstock, GA
  • NPI 1629215009
  NPD (past) Authorized official

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1245477637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 OAK LAUREL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-757-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OAK LAUREL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-757-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAGON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-757-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wedgworth, D.C.
• Michele Cloy Weeks, PT
• Samuel Wehby Jr., PT
• Steven A Weiskopf, D.P.M.
• Jessica A Welker, PHARM.D.
• Duncan Wells, M.D.
• Wellstar Cardiovascular Medicine, LLC
• Wellstar Kennestone OB/GYN, LLC
• Wellstar Medical Group, LLC (WellStar Towne Lake Pediatrics)
• Wellstar Medical Group, LLC (WellStar Urgent Care at Towne Lake)

• Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.