NPI | 1174664072 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSIE MAE SEWARD President 770-973-5775 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chiro02622) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007814) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2013-08-01 |