| NPI | 1275857294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY SMITH Owner 252-215-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 200200604) |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-02-18 |