| NPI | 1598331829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JUTIS Owner 678-730-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-04-10 |