Individual provider · Type 1 NPI
Wade Port, DC
Chiropractor · Marietta, GA
NPI number
1689979650
Active
Practice location
2840 Johnson Ferry Rd, Suite 100
Marietta, GA 30062-8309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR008769 (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.
Another provider at this address
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- Jeremy HuskChiropractor Marietta, GA NPI 1013564897
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About NPI 1689979650
Wade Port, DC's National Provider Identifier is 1689979650, issued on Jan 21, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marietta, GA. The record was last updated on Mar 4, 2014.