| NPI | 1417469065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART M FIFE Co Founder/CEO 912-239-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |