| NPI | 1851325104 |
|---|---|
| Other Name | JAY BRODWYN |
| Entity Type | Organization |
| Authorized Contact | IVAN JAY BRODWYN Doctor 706-563-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA DC1811) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-03-04 |