| NPI | 1790018554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN MADISON AVERY Director Of Rehab 770-955-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA Chir007731) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |