| NPI | 1780880302 |
|---|---|
| Doing Business As | GEORGIA NECK AND BACK |
| Entity Type | Organization |
| Authorized Contact | TONY BANGUILAN Office Manager 770-963-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008031) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR006452) |
| 207Q00000X Family Medicine (Licence: GA 016356) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2025-09-11 |