| NPI | 1306275748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MEGDAL President 706-425-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 152) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |