| NPI | 1104401819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT PATEL CEO 770-962-3642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-05-20 |