| NPI | 1043580244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA M. TRUJILLO Clinical Director/Owner 770-495-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR005830) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-02-18 |