| NPI | 1568582179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMIS WAJDI IBRAHIM Clinic Director 770-482-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 021747) |
| 208D00000X General Practice (Licence: GA 018820) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-11 |