| NPI | 1093750176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HENRY SERRATO President 706-322-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 30885) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-08-28 |