| NPI | 1467781674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TEW CEO 770-485-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chiro008574) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008567) |
| 111N00000X Chiropractor (Licence: GA chiro008565) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-01-18 |