MEDICARE: DR. JOSHUA WORTEL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR011383	GA

General Provider Information

NPI Number	:	1043004625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA WORTEL DC

Provider Business Mailing Address
First Line	:	48 PERIWINKLE WAY
Second Line	:
City	:	PENDERGRASS
State	:	GA
Zip	:	30567-3481
Country	:	US
Telephone Number	:	706-207-9853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 BARBER CREEK DR
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-4500
Country	:	US
Telephone Number	:	706-548-8984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/08/2025

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