| NPI | 1164840419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD HORTMAN Owner 404-531-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-06-30 |