| NPI | 1841825122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA E ZOELLER Office Manager 770-851-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-10-20 |