| NPI | 1265721625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE M CROOK Managing Member 706-401-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 29263) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2012-03-16 |