| NPI | 1174078711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A WILLINGHAM Medical Director 931-993-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-05-29 |