| NPI | 1144668278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G VATISTAS CEO 404-307-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA CHIR008224) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |