| NPI | 1528387214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA B PEROSINO Office Manager/Registered Agent 678-451-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007819) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |