| NPI | 1164045548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE L WOODARD President 404-309-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-10-20 |