| NPI | 1699195156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BART WETHERINGTON Owner 912-351-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007039) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-12-06 |