| NPI | 1932608338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA CULL Managment 678-469-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 071689) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |