NPI | 1083898605 |
---|---|
Former Legal Business Name | MIDSOUTH PAIN TREATMENT CENTER, LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL EDWARD STEUER President/CEO 901-624-6517 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 1703) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2017-04-25 |