| NPI | 1649574567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEFYLON V CAMERON CEO 404-499-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 6244) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 6244) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-07 |