| NPI | 1063110328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OHAD KOTT Owner 770-680-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 208D00000X General Practice |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-06-30 |