| NPI | 1104914076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE K RICHARDSON Medical Affairs Manager 803-254-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |