| 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 |