| 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 |