| NPI | 1053018010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY THOMAS Medical Biller Translator Manager 678-428-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |