NPI | 1033509203 |
---|---|
Doing Business As | PAIN ASSOCIATES OF SOUTH GEORGIA |
Entity Type | Organization |
Authorized Contact | MICHAEL J LUPI Medical Director 912-267-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 038152) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-28 |