| NPI | 1932562311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATLEE WAMPLER IV CEO/Owner 678-524-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: VA 0104001476) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |