| NPI | 1023035003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN B COVINGTON Office Manager 706-396-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |