Individual provider · Type 1 NPI
Mark Douglas Luell Sr., DC
Chiropractor · Stone Mtn, GA
NPI number
1811037864
Active
Practice location
1344 Rockbridge Rd
Stone Mtn, GA 30087-3138
Mailing address
5150 Island Dr
Stone Mtn, GA 30087-4248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 001417 (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.
About NPI 1811037864
Mark Douglas Luell Sr., DC's National Provider Identifier is 1811037864, issued on Feb 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stone Mtn, GA. The record was last updated on Jul 8, 2007.