Individual provider · Type 1 NPI
Nicole James Wilson, DC
Chiropractor · Austell, GA
NPI number
1639848930
Active
Practice location
1736 Brandemere Drive
Austell, GA 30168
Mailing address
1736 Brandemere Dr
Austell, GA 30168-5341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIRO09405 (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 1639848930
Nicole James Wilson, DC's National Provider Identifier is 1639848930, issued on Sep 9, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Austell, GA. The record was last updated on Sep 9, 2021.