| NPI | 1790169910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE COLLIN Partner/Chiropractor 770-831-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA GA040613) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 007907) |
| 111NN0400X Chiropractor, Neurology (Licence: GA CHIR007581) | |
| 225100000X Physical Therapist (Licence: GA PT006386) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |