NPI | 1407103278 |
---|---|
Other Name | SUN WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JERROLD M BRUSSACK Owner 770-962-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: GA 002639) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2012-08-10 |