| NPI | 1811342413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHEL CARR Office Manager 770-496-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA 15826) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |