| NPI | 1093088635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHARA KERBO Vice President 912-729-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 14053) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 14053) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |