| NPI | 1003975574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDO IBRAHIM Co Owner 678-714-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO007116) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO006264) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA GA6920) | |
| 225100000X Physical Therapist (Licence: GA GA11414) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |