Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIRO009190 | GA |
N | 111NN1001X | Nutrition | CHIRO009190 | GA |
N | 111NP0017X | Pediatric Chiropractor | CHIRO009190 | GA |
N | 111NR0400X | Rehabilitation Chiropractor | CHIRO009190 | GA |
N | 111NS0005X | Chiropractic Sports Physician | CHIRO009190 | GA |
NPI | 1932533965 |
---|---|
Provider Name | Dr. Wendy Nicole Sanches |
First Address | Rincon, GA 31326-9364 |
Second Address | Rincon, GA 31326-9364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 07/05/2018 |