| NPI | 1437407236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L LUBOW Owner / Clinic Director 678-566-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-09-14 |