NPI | 1730454703 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM GEOFFREY TANNER President 770-552-3282 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006491) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2012-03-09 |