| NPI | 1275930257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KING Director Revenue Cycle 770-850-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |