| NPI | 1235515958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ACRE Owner 678-392-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008778) |
| Additional Taxonomies | 111NR0400X (Licence: GA CHIR008778) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |