| NPI | 1982873857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD HURST PEACOCK Co Owner 404-587-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: GA CHIR008298) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |