| NPI | 1255602538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANAN B STIMPSON O PT Ometist 770-422-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA OPT001294T) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |