| NPI | 1346571148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENEE HELLER Owner 912-264-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009588) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2009039698) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2021-05-17 |