| NPI | 1811379746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH NELSON Patient Service Manager 770-491-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |