| NPI | 1225405186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JARR Vice President Finance & Operations 770-426-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |