NPI | 1114330362 |
---|---|
Entity Type | Organization |
Authorized Contact | AYYANA BURVICK Owner/Member 770-485-7101 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR008909) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |