| NPI | 1336925684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YI DING Physician 678-490-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |