MEDICARE: TOTAL WELLNESS SOLUTIONS

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	CHIR006247	GA

General Provider Information

NPI Number	:	1336590975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL WELLNESS SOLUTIONS

Provider Business Mailing Address
First Line	:	1705 MOUNT VERNON RD
Second Line	:	SUITE A
City	:	ATLANTA
State	:	GA
Zip	:	30338-4261
Country	:	US
Telephone Number	:	770-936-9707
Fax Number	:	866-979-4272

Provider Business Practice Location Address
First Line	:	6300 POWERS FERRY RD
Second Line	:	SUITE 600-203
City	:	ATLANTA
State	:	GA
Zip	:	30339-2919
Country	:	US
Telephone Number	:	404-664-1028
Fax Number	:	866-979-4272

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MELISSA ARNOLD
Credential	:	DC
Telephone Number	:	770-936-9707

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	06/24/2016

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