NPI | 1518466739 |
---|---|
Entity Type | Organization |
Authorized Contact | GENIA SWORD Owner 770-478-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006745) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 19354) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-02-02 |