| NPI | 1013435478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR LEE MATTHEWS Owner 678-571-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008202) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: GA CHIR008202) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIR008202) | |
| 111NR0200X Chiropractor, Radiology (Licence: GA CHIR008202) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008202) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR008202) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-09-13 |