| NPI | 1720200116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH ROESKE Owner 770-435-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: GA CHIR001242) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: GA CHIR001370) |
| 111NX0800X Chiropractor, Orthopedic (Licence: GA CHIR001242) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-12-15 |