| NPI | 1720602840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W SIMS Credentialing Manager 678-752-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2021-02-22 |