| NPI | 1760355564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE NICOLE DURHAM Division Vice President 678-491-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-10-20 |