NPI | 1023715315 |
---|---|
Doing Business As | NEUROLOGY, HEADACHE & PAIN INSTITUTE |
Entity Type | Organization |
Authorized Contact | SUSAN PORTER Payer Enrollment Manager 615-500-2199 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |