| NPI | 1780989913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY ANDRE WEST Managing Member 770-679-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA CHIRO08495) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-03-15 |