| NPI | 1477749067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE BAXTER Chiropractor/Owner 770-345-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007723) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-10-19 |