| NPI | 1205582343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA JEAN MORAN Owner/Chiropractor 404-888-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |