| NPI | 1265470926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOANMARIE SEALS CEO 678-521-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA 7129) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |