| NPI | 1336671379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEFYLON CAMERON Administrative Manager 678-717-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: GA GA050322) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |