| NPI | 1992111280 |
|---|---|
| Doing Business As | ENERGY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JAMES BROUSSARD Vice President 678-973-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA 33753) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-09-12 |