| NPI | 1912257965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID GOOLSBY President/Owner 864-350-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10161) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |