Individual provider · Type 1 NPI
Martin Ralph Wilson, DC
Chiropractor · Dallas, GA
NPI number
1609314723
Active
Practice location
110 Evans Mill Dr Ste 309
Dallas, GA 30157-1623
Fax (678) 653-7540
Mailing address
2842 Bent Creek Dr NW
Kennesaw, GA 30152-2623
Other practice locations
- 2842 Bent Creek Dr NW, Kennesaw, GA 30152-2623 · (404) 966-8672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIR009825 (GA) |
| Chiropractor Primary | 111N00000X | CHIR009825 (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.
4 other providers at this address
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About NPI 1609314723
Martin Ralph Wilson, DC's National Provider Identifier is 1609314723, issued on Feb 9, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, GA. The record was last updated on Mar 25, 2019.