| NPI | 1730421520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M LEBHAFT Member Manager 770-942-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA CHIRO6253) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |