| NPI | 1750804969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA BROWN Director 404-284-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 1938) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA 101149) |
| 207Q00000X Family Medicine (Licence: GA 38742) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-06-16 |