| NPI | 1952520041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA STARR WILLIAMS Owner 770-517-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 008738) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 6463) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-09-11 |