| NPI | 1104224641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ANTHONY CLOWER President/Physician 770-402-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |