| NPI | 1487915211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEICHELLE G WHITE Billing Specialist 678-438-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 008214) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-08-21 |