| NPI | 1831216886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALLEN ELLIS Vice President 770-664-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: GA chir007215) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |