| NPI | 1629115084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN AUGUSTUS JOE Owner President 757-513-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001802) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |