| NPI | 1740168533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M MCDONALD President 770-301-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |