| NPI | 1174836845 |
|---|---|
| Doing Business As | SOUTHERN PAIN INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LYNN CLAVO PIC 770-632-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009658) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2015-02-24 |