MEDICARE: VININGS SPINE AND WELLNESS INC

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

General Provider Information

NPI Number	:	1548112055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VININGS SPINE AND WELLNESS INC

Provider Business Mailing Address
First Line	:	4687 S ATLANTA RD SE STE 210
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-1512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4687 S ATLANTA RD SE STE 210
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-1512
Country	:	US
Telephone Number	:	404-794-4357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAHIBJIT GILL
Credential	:	DC
Telephone Number	:	425-880-2567

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “VININGS SPINE AND WELLNESS INC ” Practice Location

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