| NPI | 1457521726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B BENDER Administrator 770-740-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 049787) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-14 |