| NPI | 1194015552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J ST. BERNARD Chiropractor/ Owner 678-889-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008789) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: GA CHIR008789) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIR008789) | |
| 111NR0200X Chiropractor, Radiology (Licence: GA CHIR008789) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR008789) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |