| NPI | 1073605549 |
|---|---|
| Doing Business As | IRC ROSWELL |
| Entity Type | Organization |
| Authorized Contact | ANTHONY P REEVE Medical Director 5057-977-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-03-20 |