| NPI | 1902665847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA GARRISON President/CEO 706-429-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |