NPI | 1104661057 |
---|---|
Doing Business As | GRAND OAK HEALTHCARE |
Entity Type | Organization |
Authorized Contact | DOUGLAS L GILES Managing Member 706-224-8599 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |