| NPI | 1144660333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAMATO Owner 678-817-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2396) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2400) |
| 111N00000X Chiropractor (Licence: AL 2404) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |