NPI | 1063719425 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M CRUMB President 251-345-0773 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL 24535) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2015-02-04 |