NPI | 1124245667 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD AVERY HYATT President 770-237-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 6040) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 5693) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |