| Atlanta Total Wellness | |
|
855 Mount Vernon Hwy Ne Ste 100, Atlanta, GA 30328-4281 | |
| (770) 394-1336 | |
| (770) 394-1337 |
| Full Name | Atlanta Total Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 855 Mount Vernon Hwy Ne Ste 100, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992148662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIRO 06983 (Georgia) | Primary |
| Provider Name | Dmitry Y Sereda |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245312909 PECOS PAC ID: 1052360906 Enrollment ID: I20050118000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Total Wellness 855 Mount Vernon Hwy Ne Ste 100, Atlanta, GA 30328-4281 Ph: (770) 394-1336 | Atlanta Total Wellness 855 Mount Vernon Hwy Ne Ste 100, Atlanta, GA 30328-4281 Ph: (770) 394-1336 |
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