| NPI | 1922305002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D PEYROUX Owner 770-345-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |