NPI | 1932466174 |
---|---|
Entity Type | Organization |
Authorized Contact | JOOYOUNG KIM CEO 770-696-7456 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008481) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 236) |
207Q00000X Family Medicine (Licence: GA 05421) | |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |