| NPI | 1124454343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RUBEN VENTIMIGLIA Owner 770-698-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chir007909) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |