NPI | 1265641690 |
---|---|
Doing Business As | STOVER SPORTS INJURY & WELLNESS |
Entity Type | Organization |
Authorized Contact | CRAIG STOVER President 678-513-1450 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007408) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-11-28 |