| NPI | 1306225479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMILIAN SHOKAT Medical Director 229-226-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-01-31 |