| NPI | 1093482903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HONAN Sole Member 404-255-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |