| NPI | 1760214290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA MILLER Owner 770-630-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |