| NPI | 1205341930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MARK TUTTLE Chiropractic Physician 678-334-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL 12257) |
| Additional Taxonomies | 261QM0801X (Licence: FL 14564) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-01-22 |