| NPI | 1235843483 |
|---|---|
| Doing Business As | JEFFERSON CHIRO AND ADVANCED MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DEDRA SMITH Office Manager 706-708-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-25 |