| NPI | 1699071662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L WATERS Owner 404-317-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO007116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA GA11414) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-02-01 |