| NPI | 1083652713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W BEAUCHAMP Clinic Director 770-495-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 038370) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 007263) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |