| NPI | 1306881537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONNELLY President 252-672-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-01-12 |