Healthcare Provider Details

I. General information

NPI: 1407769037
Provider Name (Legal Business Name): CHIROPRACTIC WELLNESS HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6385 MCGINNIS FERRY RD STE 201
JOHNS CREEK GA
30005-3672
US

IV. Provider business mailing address

6385 MCGINNIS FERRY RD STE 201
JOHNS CREEK GA
30005-3672
US

V. Phone/Fax

Practice location:
  • Phone: 770-623-6880
  • Fax: 770-623-6440
Mailing address:
  • Phone: 770-623-6880
  • Fax: 770-623-6440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH FANNING
Title or Position: PRESIDENT
Credential: DC
Phone: 770-623-6880