| NPI | 1770523003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK JOSEPH ANTHONIJS President 770-772-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO07795) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-07-21 |