WELLNESS WAGON CHIROPRACTIC, LLC (NPI# 1245477637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245477637 |
| Entity Type | Organization |
| Organization Name | WELLNESS WAGON CHIROPRACTIC, LLC |
| Practice Address |
113 Oak Laurel Woodstock GA 30188 |
| Practice Telephone | 7707570048 |
| Mailing Telephone | 7707570048 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | DR. STEPHANIE GRACE SULLIVAN (OWNER) |
| Authorized Official Telephone | 7707570048 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
113 OAK LAUREL |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629215009 | Stephanie Grace Sullivan | Chiropractor | 113 Oak Laurel, Woodstock, GA 30188-6721 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084398 | Lela Iduna,p.c. | Clinic/Center | 110 S Johnson St Ste 206, Woodstock, IL 60098-3259 | 2018-12-16 |
| 1972072197 | Atlas Chiropractic of Woodstock LLC | Clinic/Center | 8744 Main St Ste 103, Woodstock, GA 30188-4951 | 2018-11-16 |
| 1033723671 | Kigga, LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-09-01 |
| 1114483021 | Integrative Health Care Centers of Atlanta, LLC | Clinic/Center | 3221 S Cherokee Ln Ste 1830, Woodstock, GA 30188-4797 | 2019-02-15 |
| 1225481526 | Shanadoah County Free Cinic | Clinic/Center | 124 Valley Vista Dr, Woodstock, VA 22664-1608 | 2016-07-21 |
| 1497012298 | Cleary Family Chiropractic LLC | Clinic/Center | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2012-04-18 |
| 1053634808 | Expert Eye Care, Inc | Clinic/Center | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2010-03-09 |
| 1285801068 | Rediclinic Us, LLC | Clinic/Center | 12182 Highway 92, Woodstock, GA 30188-4481 | 2008-05-12 |
| 1902942972 | Northwestern Community Services | Clinic/Center | 441 N Main St, Woodstock, VA 22664-1801 | 2007-01-29 |
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| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
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| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.