| NPI | 1972647089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KERRY ELLIOTT President 770-253-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR001771) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |