| NPI | 1801089917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID SADRI Officer 404-377-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR002615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009017) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |