NPI | 1558950337 |
---|---|
Entity Type | Organization |
Authorized Contact | RA'KESHIA BROGDON Credentialing Specialist 404-941-1233 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2021-01-15 |
Last Update Date | 2021-02-22 |