Individual provider · Type 1 NPI

Brian Peter Dewilde, DC

Chiropractor · Decatur, GA

NPI number 1508532599 Active

Practice location

4294 Memorial Dr Ste D
Decatur, GA 30032-1226

Mailing address

2479 Cedar Canyon Rd SE
Marietta, GA 30067-6696

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X9077 (AZ)
Chiropractor Primary 111N00000XCHIR010554 (GA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1508532599

Brian Peter Dewilde, DC's National Provider Identifier is 1508532599, issued on Aug 19, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Decatur, GA. The record was last updated on Aug 19, 2021.