| NPI | 1518149020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA WONELLE MCCLURE Insurance Billing Agent 770-591-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 006474) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2009-01-23 |