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NPI Code Detail

MEDICARE: YAKES CHIROPRACTIC AND WELLNESS CENTER LLC

MEDICARE: YAKES CHIROPRACTIC AND WELLNESS CENTER LLC
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
1111N00000XChiropractorCHIR008740GA

General Provider Information

NPI Number : 1821354739
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAKES CHIROPRACTIC AND WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 3900 LEGACY PARK BLVD NW STE C200
Second Line :
City : KENNESAW
State : GA
Zip : 30144-7416
Country : US
Telephone Number : 770-426-4848
Fax Number : 770-426-1139
Provider Business Practice Location Address
First Line : 3900 LEGACY PARK BLVD NW STE C200
Second Line :
City : KENNESAW
State : GA
Zip : 30144-7416
Country : US
Telephone Number : 770-426-4848
Fax Number : 770-426-1139
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. WILLIAM A. YAKES
Credential : D.C.
Telephone Number : 777-426-4848
Provider Enumeration Date : 04/04/2012
Last Update Date : 04/04/2012

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Directions to “YAKES CHIROPRACTIC AND WELLNESS CENTER LLC ” Practice Location

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