| NPI | 1386996809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHNSON President 706-576-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009043) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-12-10 |