| NPI | 1447486477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GRACE FOURRE Owner 770-345-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: GA CHIR006079) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |