| NPI | 1245877489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG PATEL Owner, Member 912-201-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2020-06-29 |