NPI | 1609150705 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD ANDREW HARDISON President 706-850-5595 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006310) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2011-10-06 |