| NPI | 1487146619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAPPUIS Owner 404-351-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-07 |