| NPI | 1467993766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN EVAN ALBANESE Chiropractor 770-740-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009702) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |