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 |