| NPI | 1275088056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN P. SNOW Owner 770-591-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: GA CHIRO 09074) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |