| NPI | 1881974756 |
|---|---|
| Doing Business As | UPSTATE INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENDA L CARRANO Owner 678-488-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: SC 002535) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2017-10-04 |