| NPI | 1326478892 |
|---|---|
| Doing Business As | RIVERDALE PAIN AND INJURY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TATE Credentialing 770-994-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |