| NPI | 1841638863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMITRIOUS GILMORE Chiropractor 404-644-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: TX No195793) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 11705) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |