| NPI | 1437368172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BOYD MOFFET President/Provider 912-384-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR002080) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-14 |