| NPI | 1912116914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROGER ZOODSMA President 478-390-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR005027) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |