| NPI | 1952678138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WILLIAM SIERADZKI Owner 770-982-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR002081) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |