| NPI | 1972941839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER WINGATE Owner 404-483-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |