| NPI | 1114034998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY E GREENING Owner 770-599-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 42585) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 55703) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-11-02 |