NPI | 1124296074 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON G WEEKS President 770-988-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: GA CHIR006842) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2009-02-16 |