| NPI | 1124126099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL A FRIEDMAN President 770-641-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR005683) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-10-04 |