| NPI | 1467639435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNG PAK Manager 678-610-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007891) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2018-12-07 |