| NPI | 1891488110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH BELTZHOOVER Rcm Director 678-752-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |