| NPI | 1205956877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. CAMPBELL Executive Director 706-799-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-11 |