| NPI | 1083990774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A GRUNDY Owner/President 770-631-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR003105) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |