| NPI | 1588767750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S WEINER President 770-973-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA G00161) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |