| NPI | 1033305180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EARL WINDSOR CEO/Owner 770-850-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2014-10-16 |