{
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"FirstLineMailingAddress": "420 E 2ND AVE",
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"FirstLinePracticeLocationAddress": "304 TURNER MCCALL BLVD SW",
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"PracticeLocationAddressFaxNumber": "706-509-4791",
"EnumerationDate": "09/08/2006",
"LastUpdateDate": "09/29/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORMAN",
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"Taxonomies": {
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"TaxonomyName": "Rehabilitation Hospital Unit",
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}
},
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}
}