NPI | 1609158096 |
---|---|
Doing Business As | ADVANTA TOTAL HEALTH |
Entity Type | Organization |
Authorized Contact | RICHARD PHILIP SCHUYLER President 770-955-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 225100000X Physical Therapist |
111N00000X Chiropractor | |
207R00000X Internal Medicine | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2012-11-21 |