| NPI | 1104228469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L JOHNSON Practice Administrative Officer 912-265-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT011539) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |