| NPI | 1275979643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD THOMPSOM Owner 404-933-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 2012018701) |
| Additional Taxonomies | 174H00000X Health Educator |
| 251B00000X Case Management (Licence: GA 2012018701) | |
| 302R00000X Health Maintenance Organization (Licence: GA 2012018701) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |