NPI | 1780141002 |
---|---|
Doing Business As | SOUTH MAIN CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | ANDREW WIESE Owner 770-317-0057 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-02-22 |