| NPI | 1588931117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE E ALTIERI Provider/Partner 770-513-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO04727) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO04740) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |