NPI | 1245905454 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2021-08-10 |
Last Update Date | 2023-11-14 |