| NPI | 1679780092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EMERSON DUVALL PT, Ocs, Mtc 770-979-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT000978) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-11-06 |