| NPI | 1023273570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM RUBIN Medical Director 770-516-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 030873) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2014-06-25 |