| NPI | 1336232958 |
|---|---|
| Other Name | SOUTHERN PAIN & DIAGNOSTICS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY THADDEUS CLAVO President 770-632-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 045425) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-07-27 |