| NPI | 1245689777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRISH DINUBHAI PATEL Md/President 706-580-3607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 067950) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: GA 067950) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |