| NPI | 1922232628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNNA TENNISE MORROW Owner/Chiropractor 770-469-7330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 07654) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: GA 07654) |
| 305R00000X Preferred Provider Organization (Licence: GA 07654) | |
| 305S00000X Point of Service (Licence: GA 07654) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2015-12-10 |