NPI | 1801028287 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT VINCENT DIMARTINO Owner 678-402-1091 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 007609) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 007600) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2012-06-28 |