| NPI | 1366794968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SMITH Director 770-781-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 41961) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |