| NPI | 1992923973 |
|---|---|
| Other Name | MAIN STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | J MYRA SARGENT President 404-765-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-12-18 |