| NPI | 1598106296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SUPNICK Owner 770-262-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR007097) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |