| NPI | 1366610503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GARY LAZARNICK President 770-834-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR001151) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |