| NPI | 1134544570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHARLES ROSENBERG Member 843-839-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 24751) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: SC 24751) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2024-03-05 |