| NPI | 1477361830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON ECTOR Owner 770-731-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-19 |