| NPI | 1093469355 |
|---|---|
| Other Name | SOUTHERN PAIN AND SPINE - JASPER |
| Entity Type | Organization |
| Authorized Contact | HAMISH PATEL COO 470-628-9203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-05-25 |