| NPI | 1487838066 |
|---|---|
| Other Name | SOUTHERN THERAPY CARROLLTON DME |
| Entity Type | Organization |
| Authorized Contact | PENNY KENERLY Chief Operating Officer 770-832-2484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-09-18 |