| NPI | 1154419364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH SPELL Office Manager 229-446-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 028623) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |