| NPI | 1053784967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MECCIA Doctor Of Chiropractic 678-744-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009526) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |