| NPI | 1609004605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SMITH Owner 678-665-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT009067) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |