| NPI | 1912049479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG MICHAEL BLOTNER Chiropractor 770-772-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006571) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |