NPI | 1124124185 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN V DAWIDOWICZ President 864-583-8308 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 14638) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2495) |
207Q00000X Family Medicine | |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3647) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-08-02 |