| NPI | 1700166956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO MAIORINO President 678-469-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chir008110) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009403-1) |
| 174400000X Specialist (Licence: GA MT004280) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |