| NPI | 1972650661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS HARTPENCE Owner 770-460-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |