| NPI | 1194108134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP VAID Owner 678-489-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: GA 66095) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 66095) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 66095) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-03 |