| NPI | 1053883710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WEIDLER CFO 404-351-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |