NPI | 1841736303 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA S PIRTLE Billing Manager 770-755-9137 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: GA 1831215714) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO08008) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2017-01-09 |