| NPI | 1720424310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BYUNG KIM Manager 678-587-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: GA CHIR008710) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |