| NPI | 1134700743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GILKEY CEO 912-509-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-29 |