| NPI | 1144863358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS M HECKER Sole Member 828-237-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-03-18 |