| NPI | 1538406756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WALTER BISHOP Clinic Director 678-673-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA 008317) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |