| NPI | 1568767069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M TINSLEY Owner/Director 770-795-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: GA CHIR008556) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |