| NPI | 1952837007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA CULL COO 678-469-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-07-01 |