| NPI | 1699174896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN R WALTON Co Owner/ Clinical Director 770-742-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR009256) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR009256) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |