| NPI | 1366801672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BOBO Owner/Chiropractor 770-377-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NM 2128) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |