| NPI | 1033404066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DO YOUNG KIM Owner 770-882-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: GA CHIR008162) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: GA CHIR008162) |
| 111NR0400X Chiropractor Rehabilitation (Licence: GA CHIR008162) | |
| 111NN1001X Chiropractor Nutrition (Licence: GA CHIR008162) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-21 |