NPI | 1104942929 |
---|---|
Doing Business As | AUGUSTA BACK |
Entity Type | Organization |
Authorized Contact | REGINALD HILL Practice Administrator 706-722-6957 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
225100000X Physical Therapist (Licence: GA PT005715) | |
208100000X Physical Medicine & Rehabilitation (Licence: GA 059596) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-11-05 |