| NPI | 1811202989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BADIE Manager 770-455-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA 006333chiro) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |