NPI | 1609861137 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER P RECKNOR Owner 770-534-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
207RR0500X Internal Medicine, Rheumatology | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2008-12-12 |