| NPI | 1770755670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES GOODE Chiropractor/Owner 678-357-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01061150A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002366A) |
| 111N00000X Chiropractor (Licence: IN 08002007A) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |