| NPI | 1275903296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER K GEBHARDT Owner 678-878-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 20987) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007542) |
| 208D00000X General Practice (Licence: GA 26935) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2017-04-03 |