| NPI | 1194914655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C HINES President 704-360-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD-0606992-1) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-07-12 |