| NPI | 1609513464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VLAHOS Owner 912-231-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-06-06 |