| NPI | 1255578746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO GUTIERREZ Owner/Member/Manager 912-489-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008419) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |