| NPI | 1194833970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BARNGROVER President 706-571-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 027027) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-02-14 |