| NPI | 1629800545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A BELTZHOOVER R Cm Director 678-752-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |