| NPI | 1083012793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES ROSESNKOETTER President 404-233-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA 1650) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |