| 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 |