| NPI | 1164611844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H COLLIER President 770-924-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 033179) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR005357) |
| 111N00000X Chiropractor (Licence: GA CHIR008194) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-02-16 |