| NPI | 1316681034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FERNANDEZ Physician Owner 336-406-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-03-22 |