| NPI | 1063227627 |
|---|---|
| Doing Business As | MID GA PAIN MD |
| Entity Type | Organization |
| Authorized Contact | MARGARET BOLTJA Owner 478-361-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-12 |