NPI | 1871964957 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON LEDFORD Owner/Doctor 706-602-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006555) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008978) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |