| NPI | 1053985341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIXTO GONZALEZ Operating Manager/Owner 770-485-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 174400000X Specialist | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-08-07 |