| NPI | 1366971277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOSEPH SALLARULO Owner 770-457-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR002472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-07-12 |