| NPI | 1205376688 |
|---|---|
| Doing Business As | NORTHERN PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | PAMELA R SMITH Credentialing And Contracting COO Rd 336-783-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2021-03-08 |