| NPI | 1497977938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JON RUGGIERO Owner 770-888-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA CHIR005583) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-10-13 |