| NPI | 1245426097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN LUCKETT Co Owner 770-760-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR001570) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |