NPI | 1164775672 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAYTON P. WILLIAMS President/Owner 770-887-2303 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
207R00000X Internal Medicine (Licence: GA 44237) | |
Enumeration Date | 2012-10-22 |
Last Update Date | 2016-03-09 |