| NPI | 1982948329 |
|---|---|
| Doing Business As | SOUTH LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LARHONHDA FARMER Chiropractor 678-756-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10649) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |