| NPI | 1063556728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DUSSEL PRITCHARD Owner 704-818-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NC 10845) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 18045) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-10-27 |