| NPI | 1699186643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH MILLER MICHAUX Doctor/Owner 571-258-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556588) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |