| NPI | 1114461852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ELLIS President 404-259-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: GA CHIRO07215) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |