NPI | 1306996665 |
---|---|
Doing Business As | HERITAGE CHIROPRACTIC WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JAMES THOMAS KILLEEN Manager/President 678-879-9019 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006650) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8912) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2008-10-01 |