| NPI | 1437543394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MAYFIELD Member 404-373-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-04-15 |