| NPI | 1114797750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LOUISE SMITH Owner/Docotor 770-672-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |