NPI | 1609270420 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER SUE WOZNIAK Provider 404-576-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO09354) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2015-04-22 |