NPI | 1114613759 |
---|---|
Doing Business As | SPRINGS REJUVENATION |
Entity Type | Organization |
Authorized Contact | DIANA REEDER Practice Administrator 470-589-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine |
208800000X Urology | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-04-17 |
Last Update Date | 2024-01-17 |