| NPI | 1396886586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA H GLASS Owner 404-872-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA 6980) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-09-16 |