| NPI | 1871166405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A BELTZHOOVER Billing Director 678-752-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |