| NPI | 1740695279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EISEN Owner 770-552-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA CHIR007877) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |