NPI | 1043537905 |
---|---|
Entity Type | Organization |
Authorized Contact | KHAMIS W IBRAHIM Clinic Director 404-284-5556 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 019313) |
Enumeration Date | 2010-04-30 |
Last Update Date | 2010-04-30 |