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 |