| NPI | 1770236135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DALE ANDERSON Chiropractor 770-504-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NR0200X Chiropractor, Radiology | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2024-01-08 |