| NPI | 1649509605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE N. SORACCO Clinic Director 770-979-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR002563) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |