| NPI | 1780910224 |
|---|---|
| Doing Business As | CHIROPRACTOR |
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN GROSTIC President/Doctor 770-317-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 007653) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2009-10-18 |