| NPI | 1730600016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PHILPOT Revenue Cycle Director 678-403-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-08-16 |