| NPI | 1316695992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BRODIE Billing Supervisor 404-267-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |