NPI | 1891900650 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCH ERGAS Chiropractor 770-432-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: GA 06412) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |