| NPI | 1336413137 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ZOILA STEWART Owner 678-895-0084  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA Chir008354)  | 
| Enumeration Date | 2012-02-27 | 
| Last Update Date | 2012-02-27 |