| NPI | 1760082077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A BELTZHOOVER Billing Director 678-752-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-02-22 |