| NPI | 1134355779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY L BANGUILAN CEO 770-621-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR0006452) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |