| NPI | 1972770014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOHN MANNELLA Owner/President 478-275-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008089) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |