| NPI | 1013265479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE E ALTIERI Owner 770-513-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2016-12-12 |