| NPI | 1326225483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M VALENTINO Office Manager 770-232-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 3101) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 006582) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2011-11-30 |