NPI | 1427395755 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON GARDNER Owner/Chiropractor 770-922-8150 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007480) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-02-18 |