| NPI | 1306528575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LATRISE JAMES Practice Owner 678-997-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-02-24 |