NPI | 1811082951 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY LLOYD MARTIN Owner/Chiropractor 804-744-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA 0104000719) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-12-20 |