| NPI | 1811123243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURELYN BARNETT Owner 770-971-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008436) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: GA MT003767) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |