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NPI Code Detail

MEDICARE: DR. RONALD STANISLUAS WOZNIAK III DC

MEDICARE: DR. RONALD STANISLUAS WOZNIAK III 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
1111N00000XChiropractorCHIRO10927GA

General Provider Information

NPI Number : 1548972698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD STANISLUAS WOZNIAK III DC
Provider Business Mailing Address
First Line : 2271 SAN FERNANDO PL SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-1439
Country : US
Telephone Number : 770-366-5758
Fax Number :
Provider Business Practice Location Address
First Line : 8470 SENOIA RD
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-2870
Country : US
Telephone Number : 770-306-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2022
Last Update Date : 12/20/2022

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