| NPI | 1134596760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY DAUGHERTY Administrator 601-482-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 13082) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |