| 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 |