| NPI | 1518381938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY CORTJENS Owner 470-239-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: GA CHIR009018) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2023-08-31 |