| NPI | 1679801658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ANNE RODRIGUEZ Billing Manager 678-541-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2022-07-21 |