| NPI | 1548645062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATUM JOHNSTON Owner 770-892-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008893) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-10-14 |