| NPI | 1508904715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E DENIS Practice Administrator 770-425-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-11-20 |