| NPI | 1801099726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIQUE COOK Manager 770-719-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 01554) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 07386) |
| 111N00000X Chiropractor (Licence: GA 08061) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-12-20 |