Wade Jackson Port (NPI# 1689979650, PAC ID# 1254562705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689979650 |
| PAC ID by PECOS | 1254562705 |
| Professional Enrollment ID | I20140326000166 |
| Full Name | Wade Jackson Port |
| Organization Legal Name | WHOLE SOLUTIONS LLC |
| Address |
2840 Johnson Ferry Rd Suite 100 Marietta GA 30062-8309 |
| Phone Number | 6789269300 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2264663715 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2840 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8309 | 6789269300 | WHOLE SOLUTIONS LLC |
| 2840 Johnson Ferry Rd, Marietta, GA 30062-8309 | 6789269300 | WHOLE SOLUTIONS LLC |
| Organization Legal Name | WHOLE SOLUTIONS LLC |
| Physicians | 1 |
| Street Address |
2840 JOHNSON FERRY RD SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip | 30062-8309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilene L Cooper | Clinical Social Worker | 2790 Sandy Plains Rd, Marietta, GA 30062 | |
| Joseph Ronald Gross | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 2100 Roswell Rd, Suite 2124, Marietta, GA 30062-0874 |
| Maria J Rzeznik | Registered Dietitian Or Nutrition Professional | Nutrikiss Inc | 2155 Camberley Pl, Marietta, GA 30062-1894 |
| David J Williams | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Colleen N Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Leslie K Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Lawrence Jackson Ludtke | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Linda L Crawford | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Paul I Suji | Optometry | 2230 Roswell Rd, Suite 100, Marietta, GA 30062-2945 | |
| Jeffrey L Culpepper | Emergency Medicine | American Current Care Pa | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 |
| Find all physicians in zip 30062 | |||
| City | MARIETTA |
| Zip Code | 30062 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MARIETTA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Wade Jackson Port.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.