| NPI | 1750595658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON H ATWELL Account Manager 540-442-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555919) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-09-26 |