| NPI | 1992048136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA A CRUSSE Owner 770-993-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008654) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |