| NPI | 1386194801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MORAN Insurance Manager 770-592-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009726) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |