| NPI | 1891859849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH J TEMPLETON CEO 770-537-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN150905) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 2627) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-04-13 |