| NPI | 1730265307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS SHERIDAN President/Chiropractor 770-451-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA GA 3071) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |