Provider Demographics
NPI:1548972698
Name:WOZNIAK, RONALD STANISLUAS III (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:STANISLUAS
Last Name:WOZNIAK
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2271 SAN FERNANDO PL SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-1439
Mailing Address - Country:US
Mailing Address - Phone:770-366-5758
Mailing Address - Fax:
Practice Address - Street 1:8470 SENOIA RD
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-2870
Practice Address - Country:US
Practice Address - Phone:770-306-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor