| NPI | 1164702932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER B MCCRACKEN Owner 706-624-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 044536) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2014-04-21 |