Search › Georgia › 111N00000X
Brian Dewilde, DC
NPI 1508532599 · on the registry since 2021
Practice
- Address
- 4294 Memorial Dr Ste D
Decatur, GA 30032 - Phone
- (470) 231-5272
- Organisation at this address
- Performance Injury Center Llc.
Tbi Diagnostic Centers Of GeorgiaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- AZ, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia