| NPI | 1710238407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A CIRONE President 678-482-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO06478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 141041) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |