| NPI | 1679612741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DENNIS CHASTAIN President 706-353-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 995, 8125) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |