NPI | 1609513464 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS VLAHOS Owner 912-231-7482 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2022-05-13 |
Last Update Date | 2024-05-13 |