| NPI | 1215488267 |
|---|---|
| Doing Business As | PAINMD |
| Entity Type | Organization |
| Authorized Contact | BLAKE LECHE Member 864-210-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |