| NPI | 1013225481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE CRANDALL Chiropractor 770-630-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008571) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |