| NPI | 1134383565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BENTON CEO 678-701-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |