| NPI | 1639031990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARONDA WARD Owner 404-451-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor, Nutrition | |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |