| NPI | 1861904450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MCKENZIE BOHAN Chiropractor 678-595-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009960) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |