| NPI | 1265440630 |
|---|---|
| Doing Business As | SOUTHEASTERN PAIN MANAGMENT |
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE JACOBS Chief Operating Officer 256-492-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 1294) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |