| NPI | 1598209090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ADAM LOREN President 912-384-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA chiro009727) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-02-16 |