| NPI | 1144545922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA MONIQUE GWINN Owner 404-955-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: GA MT004320) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |