| NPI | 1063282879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOSHUA SMITH Owner 864-214-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0000X | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-11-21 |