The Wellness Sanctuary International Corp | |
1003 E Freeway Dr Se Ste B, Conyers, GA 30094-5927 | |
(570) 852-9826 | |
Not Available |
Full Name | The Wellness Sanctuary International Corp |
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Type | Facility |
Speciality | Chiropractor |
Location | 1003 E Freeway Dr Se Ste B, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528608585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stephen Richard Sabol |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013457241 PECOS PAC ID: 4789961194 Enrollment ID: I20190422002000 |
Mailing Address | Practice Location Address |
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The Wellness Sanctuary International Corp 1003 E Freeway Dr Se Ste B, Conyers, GA 30094-5927 Ph: (570) 852-9826 | The Wellness Sanctuary International Corp 1003 E Freeway Dr Se Ste B, Conyers, GA 30094-5927 Ph: (570) 852-9826 |
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