| NPI | 1588782346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P WILLIS Owner 770-513-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 016356) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR005026) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-11-08 |