| NPI | 1093765877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN LEE GIBBS Owner/Predisent 404-325-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 006697) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |