| NPI | 1891139663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FERRERO Manager 678-450-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-03-04 |