| NPI | 1154640209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R LEWIS Reimbursement Director 678-303-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: GA 021872) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |