NPI | 1245454412 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD DARRYL OSTROW President Owner Chiropractor 770-445-6919 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 5927) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |