| NPI | 1295886497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MORGAN LONG President 919-751-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 138987) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 138987) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-07-22 |