NPI | 1184340598 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVIN COLBURN Chiropractor 678-221-1008 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2022-10-17 |
Last Update Date | 2022-10-17 |