| NPI | 1073632501 |
|---|---|
| Doing Business As | DYNAMIC SPINE & REHAB |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A JEWETT President 912-650-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007865) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-04-10 |