| NPI | 1952455875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA FAYE CALLAWAY Office Manager 540-483-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001373) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001574) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |