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 |