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 CHIR006452) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008031) |
207Q00000X Family Medicine (Licence: GA 016356) | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2020-08-22 |