| NPI | 1215980149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LEE OVERTON President 706-660-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: GA 6497) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |