| NPI | 1205059748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS FRANKENBERG Clinic Director 678-624-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: GA 055151) |
| Additional Taxonomies | 111NR0400X (Licence: GA CHIR006744) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |