| NPI | 1891091856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER K GEBHARDT Owner 770-645-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 013795) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR00752) |
| 111N00000X Chiropractor (Licence: GA CHIR007602) | |
| 225100000X Physical Therapist (Licence: GA PT001946) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |