| NPI | 1225309909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH RAMJI PATEL Clinic Director 678-667-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X Chiropractor, Rehabilitation | |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |