| NPI | 1336744770 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANKUR BHARAT PATEL CEO/ Owner Partner 678-971-4167  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine | 
| Additional Taxonomies | 207L00000X Anesthesiology | 
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-12-03 | 
| Last Update Date | 2025-07-07 |