| NPI | 1861198970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JUTIS CEO 678-730-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |