| NPI | 1770350712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RYAN MOORMAN Dc, Practice Manager, Owner 229-241-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |