| NPI | 1548892458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WOFFORD Director 404-800-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-06-02 |