| NPI | 1316213879 |
|---|---|
| Doing Business As | HEALTHSOURCE OF MARIETTA |
| Entity Type | Organization |
| Authorized Contact | DANIEL FLEMING MARTIN Owner 770-578-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 41060) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |