| NPI | 1104976695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDHA A PRADHAN President 334-395-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 21981) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-03-14 |