| NPI | 1770932337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G REGISTER Owner 229-405-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009674) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2017-09-25 |