| NPI | 1841536000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE SCOTT GRAVANTE Chiropracter 678-990-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR002063) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-06-15 |