| NPI | 1740391358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ALAN KOLONICK President 770-420-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007735) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-27 |