| NPI | 1184021180 |
|---|---|
| Doing Business As | ADVANCED SPINE & PAIN INTERVENTIONS |
| Entity Type | Organization |
| Authorized Contact | WOODLEY B. MARDY-DAVIS Medical Director 470-299-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 059463) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: GA 059463) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2024-04-23 |