| NPI | 1154600476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW-MONTEZ CLARK Chiropractor 770-712-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 4152) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |