| NPI | 1073738522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE CROWLEY Chiropractor 912-265-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR005978) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006507) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |