| NPI | 1225379910 |
|---|---|
| Doing Business As | REVIVAL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | GREGORY SCHULZ VP Surry Regional Health Services 336-783-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2014-11-12 |