| NPI | 1215356571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP NORTON HENDERSON President/Owner 678-376-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 47601) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |