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 |