| NPI | 1659409860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LUKE SMITH Medical Director 678-387-6498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 031857) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |