| NPI | 1356522817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOUGLAS JOHNSON Owner 804-320-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA 0104000670) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2013-11-06 |