NPI | 1356709430 |
---|---|
Entity Type | Organization |
Authorized Contact | ATLEE THOMAS WAMPLER IV CEO/Owner 770-504-5162 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA 07295) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |