| NPI | 1053719393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO DURALDE Owner/Medical Director 404-351-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2020-01-08 |