| 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 |